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SPENCER SCOTT HENDRICKS PMHNP
NPI 1932830338
Nurse Practitioner - Psychiatric/Mental Health in Walla Walla, WA

Active since June 17, 2022PECOS EnrolledAccepts Medicare Assignment
2330 EASTGATE ST STE 105, WALLA WALLA, WA 99362(509) 973-5788 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Spencer Scott Hendricks Pmhnp NPPES

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

SPENCER SCOTT HENDRICKS PMHNP (NPI 1932830338) is an individual psychiatric/mental health provider in Walla Walla, Washington, licensed in Washington (AP61327112) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Providence St Mary Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1932830338
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameSPENCER SCOTT HENDRICKSCredential: PMHNP
Location Address2330 EASTGATE ST STE 105Walla Walla, WA 99362-1559
Mailing Address1017 S 2nd Ave Ste 3Walla Walla, WA 99362-4183 · (509) 897-8608 · Fax (509) 897-5740
Phone(509) 973-5788
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 17, 2022
Last NPPES UpdateApril 6, 2026
NPPES CertifiedApril 6, 2026
✔ NPI 1932830338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WA · AP61327112
2330 EASTGATE ST STE 105, Walla Walla, WA 99362
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1112 Columbia Point Dr Ste 101Richland, WA 99352-4390 · Phone (509) 942-2023 · Fax (509) 942-2640
Location 21017 S 2nd Ave Ste 3Walla Walla, WA 99362-4183 · Phone (509) 897-8608 · Fax (509) 897-5740

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Spencer Scott Hendricks Pmhnp 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 ID8224411038
PECOS Enrollment IDI20220811001463
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 Spencer Hendricks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kadlec Regional Medical Center
43 mi
Clinic/Center
4008 W 27TH AVE, SUITE 103
Kennewick, WA 99337
  • Reassigned Medicare billing, Washington enrollment
  • 454 clinicians in this Medicare group
NPI 1063967933 (509) 942-2144

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence St Mary Medical Center

Acute Care Hospitals · Walla Walla, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500002
Location401 W Poplar StWalla Walla, WA 99362 · Walla Walla County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99362 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 6

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

MELANIE ANNE JENSEN
Social Worker (Clinical)
2330 EASTGATE ST STE 105
WALLA WALLA, WA 99362
Walla Walla County (509) 973-5788
BLUE MOUNTAIN HEALTH COOPERATIVE
Clinic/Center (Mental Health (Including Community Mental Health Center))
2330 EASTGATE ST STE 105
WALLA WALLA, WA 99362
Walla Walla County (509) 973-5788
AMANDA FOWLER LSWAIC
Social Worker
2330 EASTGATE ST STE 105
WALLA WALLA, WA 99362
Walla Walla County (509) 973-5788
ERIKA ROOTVIK
Nurse Practitioner (Psychiatric/Mental Health)
2330 EASTGATE ST STE 105
WALLA WALLA, WA 99362
Walla Walla County (509) 973-5788
TAMARA KAY SHARON LSWAIC
Social Worker
2330 EASTGATE ST STE 105
WALLA WALLA, WA 99362
Walla Walla County (509) 973-5788
CORTNEY P. NEEDHAM
Social Worker (Clinical)
2330 EASTGATE ST STE 105
WALLA WALLA, WA 99362
Walla Walla County (509) 973-5788

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 Hendricks's NPI number?

The NPI number for Spencer Hendricks is 1932830338. It was assigned to this individual provider in the NPPES registry on June 17, 2022.

Where is Spencer Hendricks located?

Spencer Hendricks practices at 2330 Eastgate St Ste 105, Walla Walla, WA 99362. The listed phone number is (509) 973-5788.

What is Spencer Hendricks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Spencer Hendricks enrolled in Medicare?

Yes. Spencer Hendricks 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.

Which organization bills Medicare for Spencer Hendricks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Spencer Hendricks reassigns Medicare benefits to Kadlec Regional Medical Center (Kennewick, WA). 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 Spencer Hendricks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Spencer Hendricks accept?

Health plans from Ambetter Health, Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Spencer Hendricks 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.

Is Spencer Hendricks affiliated with any hospitals?

According to CMS data, Spencer Hendricks is affiliated with Providence St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Spencer Hendricks was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.