DR. JARED S SPENCER
NPI 1477199636
Psychologist - Clinical in Prior Lake, MN
About Dr. Jared S Spencer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JARED S SPENCER (NPI 1477199636) is an individual clinical provider in Prior Lake, Minnesota, licensed in Minnesota (LP6688) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. Jared S Spencer 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.
Medicare Billing Reassignment
Medicare enrollment records show Jared Spencer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Victoria, MN 55386
- Reassigned Medicare billing, Minnesota enrollment
- 33 clinicians in this Medicare group
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 55372 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PRIOR LAKE, MN 55372
PRIOR LAKE, MN 55372
PRIOR LAKE, MN 55372
PRIOR LAKE, MN 55372
PRIOR LAKE, MN 55372
PRIOR LAKE, MN 55372
PRIOR LAKE, MN 55372
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 Jared Spencer's NPI number?
The NPI number for Jared Spencer is 1477199636. It was assigned to this individual provider in the NPPES registry on November 22, 2019.
Where is Jared Spencer located?
Jared Spencer practices at 16180 Hastings Ave SE Ste 205, Prior Lake, MN 55372. The listed phone number is (952) 443-4600.
What is Jared Spencer's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Jared Spencer enrolled in Medicare?
Yes. Jared Spencer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jared Spencer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jared Spencer reassigns Medicare benefits to Lorenz Clinic, LLC (Victoria, MN). The 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 Jared Spencer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jared Spencer accept?
Health plans from HealthPartners list Jared Spencer 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 Jared Spencer was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Jared S Spencer · NPI 1477199636
Clinical provider in Prior Lake, Minnesota. Individual provider, active in the CMS NPPES registry since November 22, 2019.
## Identity
- **NPI:** 1477199636 (Entity type: Individual)
- **Enumerated:** November 22, 2019
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** LP6688 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 16180 HASTINGS AVE SE STE 205, Prior Lake, MN 55372-9228
- **Phone:** (952) 443-4600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Lorenz Clinic, LLC (NPI 1982900510, Victoria, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** July 7, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1477199636) · Data from the CMS NPPES public registry.