SPENCER J HARDENBROOK MD PC
NPI 1073909594
Family Medicine in Draper, UT
About Spencer J Hardenbrook Md Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPENCER J HARDENBROOK MD PC (NPI 1073909594) is a healthcare organization registered as a family medicine in Draper, Utah and active in the NPI registry since April 2015. The organization maintains 7 additional practice locations and lists Mariana Anderson Hankins, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 7
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Spencer J Hardenbrook Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
120Medicare enrollment records show 120 clinicians reassign Medicare billing to Spencer J Hardenbrook MD PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 120Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Spencer J Hardenbrook MD PC's NPI number?
The NPI number for Spencer J Hardenbrook MD PC is 1073909594. It was assigned to this organization in the NPPES registry on April 10, 2015.
Where is Spencer J Hardenbrook MD PC located?
Spencer J Hardenbrook MD PC is located at 12176 S 1000 E Ste 4, Draper, UT 84020. The listed phone number is (800) 640-3451.
What is Spencer J Hardenbrook MD PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Spencer J Hardenbrook MD PC enrolled in Medicare?
Yes. Spencer J Hardenbrook MD PC is registered in the Medicare PECOS enrollment system.
When is Spencer J Hardenbrook MD PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Spencer J Hardenbrook MD PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 120 clinicians in 4 Medicare specialties reassign their Medicare billing to Spencer J Hardenbrook MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (117), Certified Clinical Nurse Specialist (CNS) (1) and Emergency Medicine (1). Of these, 5 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Spencer J Hardenbrook MD PC accept?
Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Spencer J Hardenbrook MD PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Spencer J Hardenbrook MD PC was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Spencer J Hardenbrook Md Pc · NPI 1073909594
Family Medicine organization in Draper, Utah. Organization record, active in the CMS NPPES registry since April 10, 2015.
## Identity
- **NPI:** 1073909594 (Entity type: Organization)
- **Enumerated:** April 10, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Mariana Anderson Hankins, ADMINISTRATOR
## Practice location
- **Address:** 12176 S 1000 E STE 4, Draper, UT 84020-3221
- **Phone:** (800) 640-3451 · **Fax:** (385) 287-1900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Idaho, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 120 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (117), Certified Clinical Nurse Specialist (CNS) (1), Emergency Medicine (1); 5 practice at this address and 8 within 10 miles; [full list](https://npiprofile.com/npi/1073909594/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 15, 2026
- **Other identifiers:** Other 08121980
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Source: [NPI Profile](https://npiprofile.com/npi/1073909594) · Data from the CMS NPPES public registry.