MITCHELL WADE SPENCER DO
NPI 1649912387
Family Medicine in Phoenix, AZ
About Mitchell Wade Spencer Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MITCHELL WADE SPENCER DO (NPI 1649912387) is an individual family medicine provider in Phoenix, Arizona, licensed in Arizona (011824) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Mitchell Wade Spencer Do 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85044 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHOENIX, AZ 85044
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 Mitchell Spencer's NPI number?
The NPI number for Mitchell Spencer is 1649912387. It was assigned to this individual provider in the NPPES registry on April 12, 2022.
Where is Mitchell Spencer located?
Mitchell Spencer practices at 4530 E Ray Rd Ste 190, Phoenix, AZ 85044. The listed phone number is (808) 275-4204.
What is Mitchell Spencer's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mitchell Spencer enrolled in Medicare?
Yes. Mitchell 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 Mitchell Spencer accept?
Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Mitchell 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 Mitchell Spencer was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mitchell Wade Spencer, DO · NPI 1649912387
Family Medicine physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since April 12, 2022.
## Identity
- **NPI:** 1649912387 (Entity type: Individual)
- **Enumerated:** April 12, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 011824 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 4530 E RAY RD STE 190, Phoenix, AZ 85044-6098
- **Phone:** (808) 275-4204
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1649912387) · Data from the CMS NPPES public registry.