SPENCER ELI STODDARD (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1417645193

SPENCER ELI STODDARD (PMHNP-BC) is a healthcare provider. based in Lincoln, Nebraska. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 10455165-4405 (UT). The NPI Number for SPENCER ELI STODDARD (PMHNP-BC) is 1417645193

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
SPENCER ELI STODDARD (PMHNP-BC)
NPI
1417645193
Phone
(435) 669-3088
Address
2400 Y ST
Enumeration Date
1 May 2023
Last Update Date
30 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4024766060211
Graduation Year
2023 (3 years ago)
PAC ID
7012450737
Group Practice PAC ID
0941199681
Professional Enrollment ID
I20240621001983
Address ID
NE685269523LI8550XCIRX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

2,114 NURSE PRACTITIONER in NE

Provider Addresses for SPENCER ELI STODDARD (PMHNP-BC)

  • 2400 Y ST

    LINCOLN, NE 685031745

    Phone: (435) 669-3088

    Fax: (402) 476-6809

    Type: Mailing

  • 8550 CUTHILLS CIR

    LINCOLN, NE 685269474

    Phone: (402) 476-6060

    Fax: (402) 476-6809

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $657.

Total Amount is formed as General ($657) + Research ($0) + Ownership ($0) = $657.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($231).

Total Amount

$657

General + Research + Ownership

Payments

31

Total payment records

General Amount

$657

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240621001983INurse PractitionerNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941199681View full group profile
NameSpecialtyState
Nurse PractitionerNE
Mental Health CounselorNE
P S Y C H I A T R YNE
-NE
Mental Health CounselorNE
Nurse PractitionerNE
Nurse PractitionerNE
N E U R O L O G YNE
-NE
Mental Health CounselorNE

Reviews

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Frequently asked questions

What number should I use to identify SPENCER ELI STODDARD (PMHNP-BC) for billing?
Administrative and clinical systems typically use NPI 1417645193 for SPENCER ELI STODDARD (PMHNP-BC).
Does the public listing show SPENCER ELI STODDARD (PMHNP-BC) as active?
SPENCER ELI STODDARD (PMHNP-BC)'s NPI record reflects an active status in NPPES.
Which specialty label fits SPENCER ELI STODDARD (PMHNP-BC)?
NPPES ties SPENCER ELI STODDARD (PMHNP-BC) to Psychiatric/Mental Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit SPENCER ELI STODDARD (PMHNP-BC) in Lincoln, Nebraska?
For routing, start with Lincoln, Nebraska for SPENCER ELI STODDARD (PMHNP-BC), then verify phone and hours locally.
Why is information missing for SPENCER ELI STODDARD (PMHNP-BC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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