KATRINA E SPANGENBERG MD
NPI 1285209296
Family Medicine in Pocatello, ID

Q: What is Katrina Spangenberg's NPI number?

The NPI number for Katrina Spangenberg is 1285209296. It was assigned to this individual provider in the NPPES registry on May 21, 2021.

Q: What is Katrina Spangenberg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 21, 2021PECOS EnrolledAccepts Medicare Assignment

465 MEMORIAL DR, POCATELLO, ID 83201(208) 234-4700 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Katrina E Spangenberg Md NPPES

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

KATRINA E SPANGENBERG MD (NPI 1285209296) is an individual family medicine provider in Pocatello, Idaho, licensed in Idaho (MRM-2045) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1285209296

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKATRINA E SPANGENBERGCredential: MD

Location Address465 MEMORIAL DRPocatello, ID 83201-4008

Mailing Address2240 Adams AveOgden, UT 84401-1511 · (801) 393-5355

Phone(208) 234-4700

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateMay 21, 2021

Last NPPES UpdateOctober 29, 2024

NPPES CertifiedOctober 29, 2024

✔ NPI 1285209296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in ID · MRM-2045✔ Licensed in UT · 13821094-1205

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

465 MEMORIAL DR, Pocatello, ID 83201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

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

Katrina E Spangenberg Md 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 ID2567864416

PECOS Enrollment IDI20250410000972

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 Reassignment

Medicare enrollment records show Katrina Spangenberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Midtown Community Health Center Inc

115 mi

Federally Qualified Health Center (FQHC)

269 W 3300 S
Ogden, UT 84401

Reassigned Medicare billing, Utah enrollment
19 clinicians in this Medicare group

NPI 1609254796 (801) 393-2742

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460004

Location4401 Harrison BoulevardOgden, UT 84403 · Weber County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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 20

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

DR. JORDIN MILLWARD PHARMD

Pharmacist (Pharmacotherapy)