SPENCER KELLER NOORDA (D.P.M.) – Podiatrist, NPI 1669803193

SPENCER KELLER NOORDA (D.P.M.) is a healthcare provider. based in Henderson, Nevada. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 2018 (NV). The NPI Number for SPENCER KELLER NOORDA (D.P.M.) is 1669803193

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
SPENCER KELLER NOORDA (D.P.M.)
NPI
1669803193
Phone
(702) 456-1441
Address
68 N PECOS RD
Enumeration Date
10 December 2013
Last Update Date
11 June 2018

Doctor Profile

Medical School Name
ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Secondary Phone
7024561441
Graduation Year
2013 (13 years ago)
PAC ID
7012209687
Professional Enrollment ID
I20160630001485
Address ID
NV890747340HE68XXXRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

120 PODIATRY in NV

Provider Addresses for SPENCER KELLER NOORDA (D.P.M.)

  • 68 N PECOS RD

    STE A

    HENDERSON, NV 89074

    Phone: (702) 456-1441

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $758.

Total Amount is formed as General ($758) + Research ($0) + Ownership ($0) = $758.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($403).

Total Amount

$758

General + Research + Ownership

Payments

30

Total payment records

General Amount

$758

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: 2016-06-30

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
I20160630001485IPodiatryNVTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes26186$0
99203New patient office or other outpatient visit, 30-44 minutes3737$0
11765Removal of skin of fingernail or toenail1612$0
View full utilization report →

Insurance plans in this area (ZIP 89074)

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Reviews

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Frequently asked questions

Where can patients find SPENCER KELLER NOORDA (D.P.M.)'s NPI?
You can confirm SPENCER KELLER NOORDA (D.P.M.) with NPI 1669803193; it appears in the national provider directory.
Is SPENCER KELLER NOORDA (D.P.M.) active in the national directory?
SPENCER KELLER NOORDA (D.P.M.)'s public NPI profile is in an active state.
Can you summarize SPENCER KELLER NOORDA (D.P.M.)'s specialty in plain language?
Clinically, the directory lists SPENCER KELLER NOORDA (D.P.M.) with Podiatrist. Clinical services aligned with this taxonomy classification.
Does SPENCER KELLER NOORDA (D.P.M.) practice in Nevada?
You will see Henderson, Nevada on file for SPENCER KELLER NOORDA (D.P.M.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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