Maria Aquene Spetzler, PA
Individual provider Active NPI Physician Assistant · Arcata, CA
NPI 1487698494 · NPPES record last updated Feb 10, 2017
Key facts
- NPI
- 1487698494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA16769 (CA)
- Practice address
- 785 18TH St
Arcata, CA 95521-5683 - Phone
- (707) 822-2481
- Fax
- (707) 822-3656
- NPI assigned
- Jun 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- United Indian Health Services, Inc.
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
- Providence at Home With Compassus Home Health, Humboldt
- Providence St Joseph Hospital
- Mad River Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040831000933 | CA | Practitioner - Physician Assistant | 1850366014 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16769 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Indian Health Services, Inc. | Current |
Accepting new patients | |
| California Em-I Medical Services, a Medical Corporation | Past | Accepting new patients | |
| United Indian Health Services, Inc. | Past | Accepting new patients | |
| United Indian Health Services, Inc. | Past |
Accepting new patients | |
| Six Rivers Emergency Physicians | Past | Accepting new patients |
Locations
1600 Weeot Way
Arcata, CA 95521
Phone (707) 825-5000
Interoperability endpoints
- mspetzler12286@direct.ochin.org
- mspetzler813629@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA16769 | CA | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA16769 | Medicaid | CA |
Other providers in Arcata, CA
- Mavelyn Navarro Socha
- Kelly Sonnemann
- Barton Sparagon
- Autumn Nicole Spears
- Makani Speier-Brito
- St Jude Hospital Yorba Linda
- Lynn Stacy
- Jessica Stahl
- Matthew Standish
- Allison Stanfield
All providers in Arcata, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.