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Active NPI 1073062295 Individual Practitioner Male Practitioner

Spencer Godfrey

Nurse Practitioner • Lewiston, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Spencer Godfrey is a registered healthcare professional specializing in Nurse Practitioner in Lewiston, ID. Practice services are available at 1203 IDAHO ST under active NPI credentials.

Spencer Godfrey is affiliated with Community Health Association Of Spokane and accepts Medicare assignment.

Frequently performed procedures and clinical services include hemoglobin a1c level, automated urinalysis test, colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1203 Idaho St

Lewiston, ID 835011940

Telephone 2088488300
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Lewiston, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.1 Yrs
State Avg: 9.9 Yrs
Regional Practice Density
27 Specialists

Practicing in Lewiston, ID (602 Statewide)

Telehealth Adoption Rate
14.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
84.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
83036 Hemoglobin A1C level
34 24 $61.41 $9.52

Medical Specialties & State Licenses

CMS Verified: 2021-12-13
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License ID 62319

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License WA AP60693813

Definition to come...

Hospital & Practice Group Affiliations

Community Health Association Of Spokane

803 S Main St, Moscow, ID 838432695

Phone: 2088488300

Community Health Association Of Spokane

1203 Idaho St, Lewiston, ID 835011940

Phone: 2088488300

Community Health Association Of Spokane

803 S Main St, Moscow, ID 838432695

Phone: 2088488300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1043544331

Doctor of Pharmacy (Pharm.D.)

Veronica Mundell , LCSW

Social Worker - Clinical

NPI 1043859515

Licensed Clinical Social Worker

James Hebrlee , PA-C

Physician Assistant - Medical

NPI 1063752756

Physician Assistant (Certified)

Carmen Koepl

Dental Hygienist

NPI 1073095501
Dr. Matthew Rice , DO

Family Medicine

NPI 1073614160

Doctor of Osteopathic Medicine (D.O.)

Tracy Flynn , FNP, NP-C

Nurse Practitioner

NPI 1073983748

Family Nurse Practitioner, Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Business Mailing Address December 13, 2021

Registered at 611 N IRON BRIDGE WAY, SPOKANE, WA 992024932 (Tel: 5094448888)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2021

Nurse Practitioner (License #AP60693813 in WA)

📍
Updated Practice Location December 19, 2019

Registered at 1203 IDAHO ST, LEWISTON, ID 835011940 (Tel: 2088488300)

📍
Updated Business Mailing Address December 19, 2019

Registered at 203 N WASHINGTON ST STE 300, SPOKANE, WA 992010254 (Tel: 5094448888)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2019

Nurse Practitioner (License #62319 in ID)

NPI Profile Active September 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 28, 2016

Registered at 515 W COURT ST, PASCO, WA 993013737 (Tel: 5095472204)

📍
Updated Business Mailing Address September 28, 2016

Registered at 5160 BLUE JAY LN, WEST RICHLAND, WA 993539170 (Tel: 8014005270)

👤
Provider Name / Credentials Updated September 28, 2016

Recorded as SPENCER GODFREY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2016

Nurse Practitioner (License #AP60693813 in WA)

🟢
Initial NPI Registration & Enumeration September 28, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073062295
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2016
Last Update: December 13, 2021
Sole Proprietor: No

Mailing Address

611 N Iron Bridge Way

Spokane, WA 992024932

Phone: 5094448888

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.