Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SPENCER D MEEKS AGPCNP-BC
NPI 1104734623
Nurse Practitioner - Gerontology in Fort Wayne, IN

Q: What is Spencer Meeks's NPI number?

The NPI number for Spencer Meeks is 1104734623. It was assigned to this individual provider in the NPPES registry on August 28, 2026.

Q: What is Spencer Meeks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Spencer Meeks was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 28, 2026PECOS Enrolled

300 E WASHINGTON BLVD, FORT WAYNE, IN 46802(260) 422-5511 Get Directions Write a Review

NPPES record added: August 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Spencer D Meeks Agpcnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPENCER D MEEKS AGPCNP-BC (NPI 1104734623) is an individual gerontology provider in Fort Wayne, Indiana, licensed in Indiana (71018580A) and active in the NPI registry since August 2026. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1104734623

Entity TypeIndividualMale

Primary Taxonomy363LG0600X

Provider Legal NameSPENCER D MEEKSCredential: AGPCNP-BC

Location Address300 E WASHINGTON BLVDFort Wayne, IN 46802-3124

Mailing Address101 Cabarrus Ave E Ste 20Concord, NC 28025-3699 · (844) 932-5700

Phone(260) 422-5511

Sole ProprietorNo

Enumeration DateAugust 28, 2026

NPPES CertifiedAugust 28, 2026

✔ NPI 1104734623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in IN · 71018580A

300 E WASHINGTON BLVD, Fort Wayne, IN 46802

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Secondary Practice Location 1

Location 110445 DuPont Oaks BlvdFort Wayne, IN 46845-8792 · Phone (260) 529-5419

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spencer D Meeks Agpcnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46802 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CODY REESE ZIMMER OTD, OTR/L

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