MRS. JEANETTE R SPREADBOROUGH (ARNP) – Family Nurse Practitioner, NPI 1205559291

MRS. JEANETTE R SPREADBOROUGH (ARNP) is a healthcare provider. based in Chewelah, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. AP61392390 (WA). The NPI Number for MRS. JEANETTE R SPREADBOROUGH (ARNP) is 1205559291

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JEANETTE R SPREADBOROUGH (ARNP)
NPI
1205559291
Phone
(509) 935-8424
Address
509 E MAIN AVE
Enumeration Date
23 September 2022
Last Update Date
11 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3605336063
Graduation Year
2022 (4 years ago)
PAC ID
1052781986
Group Practice PAC ID
4385164839
Professional Enrollment ID
I20250616002688
Address ID
WA985201055AB1020XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for MRS. JEANETTE R SPREADBOROUGH (ARNP)

  • 509 E MAIN AVE

    CHEWELAH, WA 991098964

    Phone: (509) 935-8424

    Type: Location

  • 4414 GARDEN SPOT RD

    CLAYTON, WA 99110

    Phone: (360) 957-2167

    Type: Mailing

  • 1020 ANDERSON DR

    ABERDEEN, WA 985201055

    Phone: (360) 533-6063

    Type: Location

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: 2025-06-16

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
I20230110001351INurse PractitionerWATBD
I20250616002688INurse PractitionerTXTBD

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
81002Urinalysis, manual test2518$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza1616$0
View full utilization report →

Insurance plans in this area (ZIP 99109)

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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: 4385164839View full group profile
NameSpecialtyState
Family PracticeWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
Mental Health CounselorCO
Nurse PractitionerWA

Reviews

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Frequently asked questions

Does MRS. JEANETTE R SPREADBOROUGH (ARNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. JEANETTE R SPREADBOROUGH (ARNP) uses 1205559291.
Is MRS. JEANETTE R SPREADBOROUGH (ARNP) listed as active for patients and plans?
The listing shows MRS. JEANETTE R SPREADBOROUGH (ARNP) as active in the NPI system.
What is MRS. JEANETTE R SPREADBOROUGH (ARNP)'s primary classification?
Family Nurse Practitioner is the headline specialty for MRS. JEANETTE R SPREADBOROUGH (ARNP) here. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. JEANETTE R SPREADBOROUGH (ARNP) on a map?
Expect Chewelah, Washington as a primary anchor for MRS. JEANETTE R SPREADBOROUGH (ARNP) 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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