ANISSA ELLEN SPADA NURSE PRACTITIONER
NPI 1114469111
Nurse Practitioner - Acute Care in Santa Ana, CA

Q: What is Anissa Spada's NPI number?

The NPI number for Anissa Spada is 1114469111. It was assigned to this individual provider in the NPPES registry on November 8, 2016.

Q: What is Anissa Spada's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Anissa Spada was last updated on October 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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 November 08, 2016PECOS EnrolledAccepts Medicare Assignment

2010 E 1ST ST STE 100, SANTA ANA, CA 92705(714) 556-7246(714) 556-7247 Get Directions Write a Review

NPPES record last updated: October 15, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 15, 2018, Mar 17, 2018, Feb 21, 2018 and 1 more (4 updates tracked since 2016).

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About Anissa Ellen Spada Nurse Practitioner NPPES

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

ANISSA ELLEN SPADA NURSE PRACTITIONER (NPI 1114469111) is an individual acute care provider in Santa Ana, California, licensed in California (95005139) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fountain Valley, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1114469111

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameANISSA ELLEN SPADACredential: NURSE PRACTITIONER

Location Address2010 E 1ST ST STE 100Santa Ana, CA 92705-4086

Mailing Address2010 E 1st St Ste 100Santa Ana, CA 92705-4086 · (714) 556-7246 · Fax (714) 556-7247

Phone(714) 556-7246

Fax(714) 556-7247

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateNovember 8, 2016

Last NPPES UpdateOctober 15, 20184 updates tracked since enumeration

✔ NPI 1114469111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in CA · 95005139

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 95005139 (CA)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 9500139 (CA)

2010 E 1ST ST STE 100, Santa Ana, CA 92705

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Secondary Practice Location 1

Location 111180 Warner Ave, suite 455Fountain Valley, CA 92708-7501 · Phone (714) 893-6008

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anissa Ellen Spada Nurse Practitioner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557622867

PECOS Enrollment IDI20180301001874

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.

Medicare Billing Reassignments

Medicare enrollment records show Anissa Spada reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Elite Pain Management Inc.

0.1 mi

Interventional Pain Medicine

2010 E 1ST ST STE 100
Santa Ana, CA 92705

Reassigned Medicare billing, California enrollment
7 clinicians in this Medicare group

NPI 1346449394 (714) 556-7246

Ehab Yacoub MD Inc.

27 mi

Child & Adolescent Psychiatry

1225 W 190TH ST STE 280
Gardena, CA 90248

Reassigned Medicare billing, California enrollment
375 clinicians in this Medicare group

NPI 1417373713 (310) 515-8113

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92705 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 7

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

JANNETH BAUTISTA N.P.

Nurse Practitioner (Primary Care)