DR. JESSICA SPAETH PSY.D.
NPI 1689004350
Psychologist in Wilmington, NC

Active since November 18, 2013PECOS Enrolled
2601 IRON GATE DR STE 101, WILMINGTON, NC 28412(910) 202-9113 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2022, Jan 17, 2022 (2 updates tracked since 2022).

About Dr. Jessica Spaeth Psy.d. NPPES

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

DR. JESSICA SPAETH PSY.D. (NPI 1689004350) is an individual psychologist in Wilmington, North Carolina, licensed in North Carolina (4542) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Wilmington.

NPPES Registry Identity

NPI1689004350
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JESSICA SPAETHCredential: PSY.D.
Location Address2601 IRON GATE DR STE 101Wilmington, NC 28412-6624
Mailing Address2601 Iron Gate Dr Ste 101Wilmington, NC 28412-6624 · (910) 202-9113
Sole ProprietorYes
Enumeration DateNovember 18, 2013
Last NPPES UpdateOctober 7, 20222 updates tracked since enumeration
NPPES CertifiedOctober 7, 2022
✔ NPI 1689004350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in NC · 4542
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
2601 IRON GATE DR STE 101, Wilmington, NC 28412

Secondary Practice Location 1

Location 12460 Delaney AveWilmington, NC 28403-6062 · Phone (910) 202-9113

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jessica Spaeth Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jessica Spaeth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
200 TARPON TRAIL
Jacksonville, NC 28546
  • Reassigned Medicare billing, North Carolina enrollment
  • 39 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.

Other Providers at the Same Location NPPES 7

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

Psychologist (Clinical Child & Adolescent)
2601 IRON GATE DR STE 101
WILMINGTON, NC 28412
Psychologist
2601 IRON GATE DR STE 101
WILMINGTON, NC 28412
Psychologist
2601 IRON GATE DR STE 101
WILMINGTON, NC 28412
Psychologist (Clinical)
2601 IRON GATE DR STE 101
WILMINGTON, NC 28412
Counselor (Professional)
2601 IRON GATE DR STE 101
WILMINGTON, NC 28412
Psychologist
2601 IRON GATE DR STE 101
WILMINGTON, NC 28412
Psychologist
2601 IRON GATE DR STE 101
WILMINGTON, NC 28412

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 Jessica Spaeth's NPI number?

The NPI number for Jessica Spaeth is 1689004350. It was assigned to this individual provider in the NPPES registry on November 18, 2013.

Where is Jessica Spaeth located?

Jessica Spaeth practices at 2601 Iron Gate Dr Ste 101, Wilmington, NC 28412. The listed phone number is (910) 202-9113.

What is Jessica Spaeth's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jessica Spaeth enrolled in Medicare?

Yes. Jessica Spaeth is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Spaeth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Spaeth reassigns Medicare benefits to Coastal Carolina Neuropsychiatric Center, PA (Jacksonville, NC). 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 Jessica Spaeth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Spaeth accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Jessica Spaeth 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 Jessica Spaeth was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.