COLIN SPAKE FNP
NPI 1730522475
Nurse Practitioner - Family in Sausalito, CA

Q: What is Colin Spake's NPI number?

The NPI number for Colin Spake is 1730522475. It was assigned to this individual provider in the NPPES registry on April 11, 2013.

Q: What is Colin Spake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Colin Spake was last updated on November 1, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 11, 2013PECOS Enrolled

630 DRAKE AVE, SAUSALITO, CA 94965(415) 339-8813(415) 339-8814 Get Directions Write a Review

NPPES record last updated: November 1, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Colin Spake Fnp NPPES

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

COLIN SPAKE FNP (NPI 1730522475) is an individual family provider in Sausalito, California, licensed in California (22806) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730522475

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameCOLIN SPAKECredential: FNP

Location Address630 DRAKE AVESausalito, CA 94965-1107

Mailing Address229 Rhonda WayMill Valley, CA 94941-3481 · (415) 419-4111

Phone(415) 339-8813

Fax(415) 339-8814

Sole ProprietorNo

Enumeration DateApril 11, 2013

Last NPPES UpdateNovember 1, 2013

✔ NPI 1730522475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 22806

Also ListedRegistered NurseTaxonomy 163W00000X · License 789899 (CA)

630 DRAKE AVE, Sausalito, CA 94965

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colin Spake Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94965 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

$104.67 typical visit price

range $69.07 – $202.63

Typical copayment $26.16 (range $17.26 – $50.65)

Most-billed visit code 99203

Established Patient

$119.61 typical visit price

range $23.44 – $166.64

Typical copayment $29.90 (range $5.86 – $41.66)

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.

Leave this field empty