SPECTRUM HEALTH SERVICES, INC.
NPI 1265866107
Clinic/Center - Federally Qualified Health Center (FQHC) in Philadelphia, PA

Active since August 28, 2013
5201 HAVERFORD AVE, PHILADELPHIA, PA 19139(215) 472-6095 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2026, Feb 20, 2025 (2 updates tracked since 2025).

About Spectrum Health Services, Inc. NPPES

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

SPECTRUM HEALTH SERVICES, INC. (NPI 1265866107) is a healthcare organization registered as a federally qualified health center (fqhc) in Philadelphia, Pennsylvania and active in the NPI registry since August 2013. The organization lists Veronica Hill-milblbourne, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1265866107
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSPECTRUM HEALTH SERVICES, INC.
Location Address5201 HAVERFORD AVEPhiladelphia, PA 19139-1401
Mailing Address5201 Haverford AvePhiladelphia, PA 19139-1401
Organization SubpartNo
Authorized OfficialVeronica Hill-milblbournePresident/ceo · (215) 472-3240
Enumeration DateAugust 28, 2013
Last NPPES UpdateMay 19, 20262 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1265866107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
5201 HAVERFORD AVE, Philadelphia, PA 19139

Other Identifiers 1

Medicaid1007288260005PA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spectrum Health Services, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

35

Medicare enrollment records show 35 clinicians reassign Medicare billing to Spectrum Health Services, Inc., which bills Medicare for the services they deliver. Of these, 7 practice at this address and 24 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Family Practice13
Nurse Practitioner11
Clinical Social Worker3
Internal Medicine3
Pediatric Medicine2
Certified Clinical Nurse Specialist (CNS)1
Podiatry1
Psychiatry1

Nearest to this location (20)

See all 35
Nurse Practitioner
NPI 1073306296
5201 HAVERFORD AVE
Philadelphia, PA 19139
(215) 471-2761
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1659900652
5201 HAVERFORD AVE
Philadelphia, PA 19139
(215) 471-2761
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1801058417
5201 HAVERFORD AVE
Philadelphia, PA 19139
(215) 471-2761
✔ PECOS✔ Accepts MedicareSame address
Certified Clinical Nurse Specialist (CNS)
NPI 1982246682
5201 HAVERFORD AVE
Philadelphia, PA 19139
(215) 472-6097
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1437613395
5201 HAVERFORD AVE
Philadelphia, PA 19139
(215) 471-2761
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1528089612
5201 HAVERFORD AVE.
Philadelphia, PA 19139
(215) 471-2761
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1184206344
5201 HAVERFORD AVE
Philadelphia, PA 19139
(215) 471-2761
✔ PECOSSame address
Family Practice
NPI 1821291626
51 NORTH 39TH STREET MUTCH BUILDING, 6TH FLOOR
Philadelphia, PA 19104
(215) 662-8777
✔ PECOS✔ Accepts Medicare1.5 mi
Family Practice
NPI 1720522857
3737 MARKET ST FL 9
Philadelphia, PA 19104
(215) 662-8777
✔ PECOS✔ Accepts Medicare1.6 mi
Family Practice
NPI 1508356353
3737 MARKET ST FL 9
Philadelphia, PA 19104
(484) 431-8927
✔ PECOS✔ Accepts Medicare1.6 mi
Family Practice
NPI 1780180174
3737 MARKET STREET 9TH FLOOR
Philadelphia, PA 19104
(215) 662-8777
✔ PECOS✔ Accepts Medicare1.6 mi
Family Practice
NPI 1154852945
3737 MARKET ST 9TH FLOOR
Philadelphia, PA 19104
(215) 662-8949
✔ PECOS✔ Accepts Medicare1.6 mi
Family Practice
NPI 1598393498
3737 MARKET ST FL 9
Philadelphia, PA 19104
(215) 662-8777
✔ PECOS✔ Accepts Medicare1.6 mi
Clinical Social Worker
NPI 1588315410
5452 BELMAR TER
Philadelphia, PA 19143
(267) 414-7830
✔ PECOS✔ Accepts Medicare1.7 mi
Internal Medicine
NPI 1659344695
5000 WOODLAND AVE
Philadelphia, PA 19143
(215) 726-9807
✔ PECOS✔ Accepts Medicare1.9 mi
Psychiatry
NPI 1417360009
1500 LANSDOWNE AVE
Darby, PA 19023
(610) 237-4000
✔ PECOS3.5 mi
Clinical Social Worker
NPI 1518253095
525 W CHESTER PIKE FALCON CENTER SUITE 205
Havertown, PA 19083
(610) 644-6464
✔ PECOS✔ Accepts Medicare4.3 mi
Family Practice
NPI 1093204380
1316 W ONTARIO ST
Philadelphia, PA 19140
(215) 707-2400
✔ PECOS✔ Accepts Medicare4.8 mi
Family Practice
NPI 1164009064
1316 W ONTARIO ST FL 1
Philadelphia, PA 19140
(215) 707-2400
✔ PECOS✔ Accepts Medicare4.8 mi
Family Practice
NPI 1326625161
1316 W ONTARIO ST
Philadelphia, PA 19140
(215) 707-2400
✔ PECOS✔ Accepts Medicare4.8 mi
See all 35 clinicians

Source: 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 Spectrum Health Services, Inc.'s NPI number?

The NPI number for Spectrum Health Services, Inc. is 1265866107. It was assigned to this organization in the NPPES registry on August 28, 2013.

Where is Spectrum Health Services, Inc. located?

Spectrum Health Services, Inc. is located at 5201 Haverford Ave, Philadelphia, PA 19139. The listed phone number is (215) 472-6095.

What is Spectrum Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Spectrum Health Services, Inc. enrolled in Medicare?

Yes. Spectrum Health Services, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spectrum Health Services, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 35 clinicians in 8 Medicare specialties reassign their Medicare billing to Spectrum Health Services, Inc.. 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 Family Practice (13), Nurse Practitioner (11) and Clinical Social Worker (3). Of these, 7 practice at this address and 24 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Spectrum Health Services, Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and UnitedHealthcare list Spectrum Health Services, Inc. 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 Spectrum Health Services, Inc. was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.