MARILYN IRENE SPAGNOL (PA-C) – Physician Assistant, NPI 1174905657

MARILYN IRENE SPAGNOL (PA-C) is a healthcare provider. based in Mount holly, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA057625 (PA). The NPI Number for MARILYN IRENE SPAGNOL (PA-C) is 1174905657

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MARILYN IRENE SPAGNOL (PA-C)
NPI
1174905657
Phone
(609) 914-6000
Address
175 Madison Ave Fl 2
Enumeration Date
22 June 2015
Last Update Date
23 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2015 (11 years ago)
PAC ID
6406169283
Group Practice PAC ID
4082514229
Professional Enrollment ID
I20151106001831
Address ID
NJ081033101CA1600XAVEX300

Contacts

Secure Messaging
mbeatty111758@directvirtua.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:10State licenses:2Other namesUpdated within 12 months

3,578 PHYSICIAN ASSISTANT in NJ

Provider Addresses for MARILYN IRENE SPAGNOL (PA-C)

  • 175 Madison Ave Fl 2

    Mount Holly, NJ 080602038

    Phone: (609) 914-6000

    Fax: (609) 914-6182

    Type: Location

  • 218 Sunset Rd Fl 5

    Willingboro, NJ 080461110

    Phone: (609) 835-3056

    Fax: (609) 835-5741

    Type: Location

  • 100 Bowman Dr Lowr Level1

    Voorhees, NJ 080439612

    Phone: (856) 247-3000

    Fax: (856) 247-2597

    Type: Location

  • 90 Brick Rd Fl 3

    Marlton, NJ 080532177

    Phone: (856) 355-6000

    Fax: (856) 355-6731

    Type: Location

  • 1600 Haddon Ave Fl 6

    Camden, NJ 081033101

    Phone: (856) 757-3500

    Fax: (856) 365-4088

    Type: Location

  • 1616 COUNTY LINE RD

    CHALFONT, PA 189141201

    Phone: (215) 589-0262

    Type: Mailing

  • 5501 OLD YORK RD

    PHILADELPHIA, PA 191413018

    Phone: (215) 456-6560

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $58.

Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.

Last reported payment date: 2024-06-24 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($58).

Total Amount

$58

General + Research + Ownership

Payments

3

Total payment records

General Amount

$58

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-24

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2015-11-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20150722005779IPhysician AssistantPATBD
I20151106001831IPhysician AssistantNJTBD

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
99284Emergency department visit with moderate level of medical decision making3230$0
99285Emergency department visit with high level of medical decision making2221$0
View full utilization report →

Insurance plans in this area (ZIP 08060)

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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: 4082514229View full group profile
NameSpecialtyState
Physician AssistantNJ
Emergency MedicineNJ
Emergency MedicineNJ
Emergency MedicinePA
Physician AssistantNJ
Physician AssistantPA
Emergency MedicineNJ
Physician AssistantNJ
Emergency MedicineNJ
Emergency MedicinePA

Reviews

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Frequently asked questions

How do payers reference MARILYN IRENE SPAGNOL (PA-C)?
For MARILYN IRENE SPAGNOL (PA-C), use NPI 1174905657 as the unique 10-digit identifier.
Is there an active status for MARILYN IRENE SPAGNOL (PA-C)?
For scheduling context, MARILYN IRENE SPAGNOL (PA-C) is shown as active in the registry.
How would a patient describe MARILYN IRENE SPAGNOL (PA-C)'s focus?
For MARILYN IRENE SPAGNOL (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with MARILYN IRENE SPAGNOL (PA-C)?
Directory geography for MARILYN IRENE SPAGNOL (PA-C) centers on Mount Holly, New Jersey.
Can I trust this NPI listing for MARILYN IRENE SPAGNOL (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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