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MR. SPENCER PATRICK FAYLES PA-S
NPI 1679459978
Physician Assistant - Medical in Puyallup, WA

Active since August 12, 2025PECOS Enrolled
4505 S MERIDIAN STE A, PUYALLUP, WA 98373(253) 697-5780(253) 864-2972 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Spencer Patrick Fayles Pa-s NPPES

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

MR. SPENCER PATRICK FAYLES PA-S (NPI 1679459978) is an individual medical provider in Puyallup, Washington, licensed in Washington (PENDING) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lakewood, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1679459978
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. SPENCER PATRICK FAYLESCredential: PA-S
Location Address4505 S MERIDIAN STE APuyallup, WA 98373-5002
Mailing Address608 39th Ave Sw Apt J302Puyallup, WA 98373-3660 · (801) 706-8335
Phone(253) 697-5780
Fax(253) 864-2972
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 12, 2025
NPPES CertifiedAugust 12, 2025
✔ NPI 1679459978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WA · PENDING
4505 S MERIDIAN STE A, Puyallup, WA 98373
Open in Google Maps ↗

Secondary Practice Location 1

Location 15700 100th St SW Ste 500Lakewood, WA 98499-2763 · Phone (253) 459-6005

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Spencer Patrick Fayles Pa-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537650478
PECOS Enrollment IDI20251118003738
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.

Other Providers at the Same Location NPPES

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

JOSHUA IKAIKA KEANU PA-C
Physician Assistant (Medical)
4505 S MERIDIAN STE A
PUYALLUP, WA 98373
Pierce County (253) 697-5770

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 Spencer Fayles's NPI number?

The NPI number for Spencer Fayles is 1679459978. It was assigned to this individual provider in the NPPES registry on August 12, 2025.

Where is Spencer Fayles located?

Spencer Fayles practices at 4505 S Meridian Ste A, Puyallup, WA 98373. The listed phone number is (253) 697-5780.

What is Spencer Fayles's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Spencer Fayles enrolled in Medicare?

Yes. Spencer Fayles is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Spencer Fayles was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.