MS. ELLA MAE SPICKETTS PA
NPI 1972440634
Physician Assistant - Surgical in Raleigh, NC
About Ms. Ella Mae Spicketts Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. ELLA MAE SPICKETTS PA (NPI 1972440634) is an individual surgical provider in Raleigh, North Carolina, licensed in North Carolina (0010-16923.) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Raleigh.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Ella Mae Spicketts Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RALEIGH, NC 27607
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 Ella Spicketts's NPI number?
The NPI number for Ella Spicketts is 1972440634. It was assigned to this individual provider in the NPPES registry on April 30, 2026.
Where is Ella Spicketts located?
Ella Spicketts practices at 4420 Lake Boone Trl, Raleigh, NC 27607. The listed phone number is (919) 784-3100.
What is Ella Spicketts's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Ella Spicketts enrolled in Medicare?
Yes. Ella Spicketts is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ella Spicketts was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.
# Ms. Ella Mae Spicketts, PA · NPI 1972440634
Surgical physician in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since April 30, 2026.
## Identity
- **NPI:** 1972440634 (Entity type: Individual)
- **Enumerated:** April 30, 2026
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 0010-16923. (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 4420 LAKE BOONE TRL, Raleigh, NC 27607-7505
- **Phone:** (919) 784-3100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1972440634) · Data from the CMS NPPES public registry.