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DR. JARED S SPENCER
NPI 1477199636
Psychologist - Clinical in Prior Lake, MN

Active since November 22, 2019PECOS EnrolledAccepts Medicare Assignment
16180 HASTINGS AVE SE STE 205, PRIOR LAKE, MN 55372(952) 443-4600 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2021, Nov 22, 2019 (2 updates tracked since 2019).

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

NPI1477199636
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JARED S SPENCER
Location Address16180 HASTINGS AVE SE STE 205Prior Lake, MN 55372-9228
Mailing AddressPo Box 51Victoria, MN 55386-0051 · (952) 443-4600
Phone(952) 443-4600
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 22, 2019
Last NPPES UpdateJuly 7, 20212 updates tracked since enumeration
NPPES CertifiedJuly 7, 2021
✔ NPI 1477199636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in MN · LP6688✔ Licensed in IL · 071.010179
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
16180 HASTINGS AVE SE STE 205, Prior Lake, MN 55372
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID7214335157
PECOS Enrollment IDI20211007001870
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 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.

New Patient
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 13

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

IA XIONG X TOYED PH.D.
Psychologist (Counseling)
16180 HASTINGS AVE SE STE 205
PRIOR LAKE, MN 55372
Scott County (952) 443-4600
CHRISTOPHER BARNETT KNUDSVIG
Student in an Organized Health Care Education/Training Program
16180 HASTINGS AVE SE STE 205
PRIOR LAKE, MN 55372
Scott County (952) 443-4600
MRS. ERIKA MARIE DAVIS LMFT
Marriage & Family Therapist
16180 HASTINGS AVE SE STE 205
PRIOR LAKE, MN 55372
Scott County (952) 443-4600
MS. BARBARA CLARE MS, LMFT
Marriage & Family Therapist
16180 HASTINGS AVE SE STE 205
PRIOR LAKE, MN 55372
Scott County (952) 443-4600
KELSEY ROSAMOND MALMSTEDT LPCC, MS, NCC
Counselor (Mental Health)
16180 HASTINGS AVE SE STE 205
PRIOR LAKE, MN 55372
Scott County (952) 443-4600
ZACHARY THOMAS KAHMEYER M.A., LPCC
Counselor (Professional)
16180 HASTINGS AVE SE STE 205
PRIOR LAKE, MN 55372
Scott County (952) 443-4600
DR. ROBERT CHAPMAN MARSHALL JR. PSYD, LP
Psychologist (Clinical)
16180 HASTINGS AVE SE STE 205
PRIOR LAKE, MN 55372
Scott County (952) 443-4600
ANDREW PARKER
Student in an Organized Health Care Education/Training Program
16180 HASTINGS AVE SE STE 205
PRIOR LAKE, MN 55372
Scott County (952) 443-4600

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.

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.