CHAD G SPENCER (FNP-C) – Nurse Practitioner, NPI 1891387858

CHAD G SPENCER (FNP-C) is a healthcare provider. based in Bluffdale, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. F12200933 (UT). The NPI Number for CHAD G SPENCER (FNP-C) is 1891387858

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
CHAD G SPENCER (FNP-C)
NPI
1891387858
Phone
(801) 856-6414
Address
15215 S ROCKET DR
Enumeration Date
10 February 2021
Last Update Date
10 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8013578310
Graduation Year
2020 (6 years ago)
PAC ID
8224410022
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20220726002267
Address ID
UT846043380PR1034X500X304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for CHAD G SPENCER (FNP-C)

  • 15215 S ROCKET DR

    BLUFFDALE, UT 840654935

    Phone: (801) 856-6414

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-07-26

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
I20220726002267INurse PractitionerUTTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8539$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5935$0
99291Critical care, first 30-74 minutes4037$0
View full utilization report →

Insurance plans in this area (ZIP 84065)

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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: 1850209420View full group profile

Reviews

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Frequently asked questions

How do I look up CHAD G SPENCER (FNP-C) by NPI?
Use NPI 1891387858 when you need to reference CHAD G SPENCER (FNP-C) in forms, claims, or directories.
Is CHAD G SPENCER (FNP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does CHAD G SPENCER (FNP-C) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for CHAD G SPENCER (FNP-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for CHAD G SPENCER (FNP-C)?
The page summarizes Bluffdale, Utah for CHAD G SPENCER (FNP-C); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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