JACOB R SPANJER – Clinical Social Worker, NPI 1306289905

JACOB R SPANJER is a healthcare provider. based in Pasco, Washington. specializing in CLINICAL SOCIAL WORKER. They hold a License No. LW61468090 (WA). The NPI Number for JACOB R SPANJER is 1306289905

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
JACOB R SPANJER
NPI
1306289905
Phone
(509) 547-2204
Address
PO BOX 1452
Enumeration Date
12 April 2013
Last Update Date
14 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5099439104
Graduation Year
2021 (5 years ago)
PAC ID
9739539214
Group Practice PAC ID
1850642562
Professional Enrollment ID
I20231224000087
Address ID
WA993543300RI1175XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

1,396 CLINICAL SOCIAL WORKER in WA

Provider Addresses for JACOB R SPANJER

  • PO BOX 1452

    PASCO, WA 993011223

    Phone: (509) 547-2204

    Type: Mailing

  • 715 W COURT ST

    2ND FLOOR

    PASCO, WA 993014153

    Phone: (509) 545-6505

    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: 2023-12-24

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
I20231224000087IClinical Social WorkerWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99301)

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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: 1850642562View full group profile
NameSpecialtyState
-WA
Mental Health CounselorWA
-TX
Nurse PractitionerOH
Nurse PractitionerWA
Clinical Social WorkerWA
General SurgeryNY
Internal Medicine, Pulmonary Disease, Critical Care (Intensivists)WA
Physician AssistantWA
-WA

Reviews

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Frequently asked questions

How do I look up JACOB R SPANJER by NPI?
Use NPI 1306289905 when you need to reference JACOB R SPANJER in forms, claims, or directories.
Is JACOB R SPANJER's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JACOB R SPANJER work in?
You can think of JACOB R SPANJER as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is JACOB R SPANJER's primary listing?
We display Pasco, Washington because that is what the record indicates for JACOB R SPANJER.
What if Pasco, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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