NPIMap

Individual provider Active NPI

Maria Aquene Spetzler, PA

  • Physician Assistant
  • Arcata, CA
National Provider Identifier
1487698494
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA16769 Issued in CA
Practice address
785 18TH St
Arcata, CA 95521-5683
Phone
(707) 822-2481
Fax
(707) 822-3656
NPI assigned
Jun 16, 2006
Last updated
Feb 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA16769 CA Primary

Addresses

Primary practice location

785 18TH St
Arcata, CA 95521-5683

Mailing address

670 9TH St
Suite 203
Arcata, CA 95521-6248
Phone (707) 826-8633

Other identifiers 1

IdentifierTypeStateIssuer
PA16769MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040831000933 CA Practitioner - Physician Assistant 1850366014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 Weeot Way
Arcata, CA 95521-4734
Phone (707) 825-5000

434 7TH St
Eureka, CA 95501-1803
Phone (707) 296-2500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
16769CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
United Indian Health Services, Inc. CurrentSince Jan 6, 2025 Accepting new patients
United Indian Health Services, Inc. CurrentSince Jan 6, 2025 Accepting new patients
Six Rivers Emergency Physicians Past Accepting new patients
United Indian Health Services, Inc. PastSince Aug 11, 2024 Accepting new patients
California Em-I Medical Services, a Medical Corporation Past Accepting new patients
United Indian Health Services, Inc. Past Accepting new patients

Locations

1600 Weeot Way
Arcata, CA 95521
Phone (707) 825-5000

Interoperability endpoints

  • Direct secure messaging: mspetzler12286@direct.ochin.org
  • Direct secure messaging: mspetzler813629@direct.ochin.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1487698494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 9TH ST",
            "address_2": "SUITE 203",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216248",
            "telephone_number": "707-826-8633",
            "fax_number": "707-826-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 18TH ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955215683",
            "telephone_number": "707-822-2481",
            "fax_number": "707-822-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPETZLER",
        "first_name": "MARIA",
        "middle_name": "AQUENE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA16769",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

Verify at the official NPI Registry.