MR. PATRICK SPENCER (AGNP) – Nurse Practitioner, NPI 1013164110

MR. PATRICK SPENCER (AGNP) is a healthcare provider. based in New york, New York. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP. They hold a License No. 545136-1 (NY). The NPI Number for MR. PATRICK SPENCER (AGNP) is 1013164110

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MR. PATRICK SPENCER (AGNP)
NPI
1013164110
Phone
(212) 241-6500
Address
1470 MADISON AVE
Enumeration Date
20 August 2008
Last Update Date
11 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2122418303
Graduation Year
2021 (5 years ago)
PAC ID
9335518448
Group Practice PAC ID
2264691070
Professional Enrollment ID
I20221213000952
Address ID
NY100296501NE5XXXXFLOO604
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

16,993 NURSE PRACTITIONER in NY

Provider Addresses for MR. PATRICK SPENCER (AGNP)

  • 1470 MADISON AVE

    NEW YORK, NY 100296542

    Phone: (212) 241-6500

    Type: Location

  • 316 BEACH 65TH ST

    FAR ROCKAWAY, NY 116921425

    Phone: (718) 474-3800

    Type: Location

  • 10118 67TH DR

    APT. #2

    FOREST HILLS, NY 113752747

    Phone: (917) 596-9347

    Type: Mailing

  • 1919 24TH AVE APT L502

    ASTORIA, NY 111023479

    Phone: (917) 596-9347

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 71 Open Payments records for all available years, with a total value of $2,828.

Total Amount is formed as General ($2,828) + Research ($0) + Ownership ($0) = $2,828.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($1,087).

Total Amount

$2,828

General + Research + Ownership

Payments

71

Total payment records

General Amount

$2,828

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2022-12-13

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
I20221213000952INurse PractitionerNYTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes3926$0
View full utilization report →

Insurance plans in this area (ZIP 10029)

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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: 2264691070View full group profile
NameSpecialtyState
-NY
E N D O C R I N O L O G YFL
-NY
Internal Medicine, GastroenterologyNY
-NY
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseNY
Physician AssistantNY
Infectious Disease, Internal MedicineLA
O T O L A R Y N G O L O G YNY
Internal MedicineNY

Reviews

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Frequently asked questions

Can I use this page to confirm MR. PATRICK SPENCER (AGNP)'s NPI?
Yes. MR. PATRICK SPENCER (AGNP) is listed with NPI 1013164110 in the public NPI dataset.
Is MR. PATRICK SPENCER (AGNP) listed as active for patients and plans?
The listing shows MR. PATRICK SPENCER (AGNP) as active in the NPI system.
What healthcare role does MR. PATRICK SPENCER (AGNP) hold?
Scheduling teams often label MR. PATRICK SPENCER (AGNP) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect MR. PATRICK SPENCER (AGNP) on a map?
Expect New York, New York as a primary anchor for MR. PATRICK SPENCER (AGNP) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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