NPIMap

Individual provider Active NPI

Spencer Reid Anderson, M.D.

  • Emergency Medicine Physician
  • Flagstaff, AZ
National Provider Identifier
1720252158
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
44283 Issued in AZ
Practice address
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone
(928) 774-1693
NPI assigned
Apr 16, 2008
Last updated
Mar 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 44283 AZ Primary

Addresses

Primary practice location

1200 N Beaver St
Flagstaff, AZ 86001-3118

Mailing address

1600 W University Ave Ste 215
Flagstaff, AZ 86001-3115
Phone (928) 774-1693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX, NM3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110815000833 AZ Practitioner - Emergency Medicine 6507035219 Reassigns benefits to 1 organization
I20200522000667 TX Practitioner - Emergency Medicine 6507035219 Reassigns benefits to 1 organization
I20260227002765 NM Practitioner - Emergency Medicine 6507035219 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Arizona College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fedko Emergency Physicians New Mexico, LLCGroup PAC ID 4880934389, 53 clinicians

Practice addresses (Care Compare)

1016 E Rooselvelt Ave
Grants, NM 87020-2118
Phone (505) 287-4446

167 N Main St
Tuba City Indian Medical Center
Tuba City, AZ 86045-0600
Phone (928) 283-2094

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.21 of 100Reported as group
Quality
70.63
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
66.85
Promoting interoperability
99
Improvement activities
40
Cost
74.4

Merit-based Incentive Payment System (MIPS)

Final score
77.59 of 100Reported as group
Quality
47.51
Promoting interoperability
69
Improvement activities
40
Cost
86.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44283AZMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fep West LLC Emergency Medicine CurrentSince Mar 1, 2026 Accepting new patients
Flagstaff Emergency Physicians Emergency Medicine CurrentSince Jul 1, 2011 Accepting new patients
Flagstaff Pathology Associates Current Accepting new patients
Tuba City Regional Health Care Corporation Family Medicine CurrentSince May 14, 2020 Accepting new patients
Tuba City Regional Health Care Corporation Emergency Medicine Current Accepting new patients
Tuba City Regional Health Care Corporation Family Medicine CurrentSince May 14, 2020 Accepting new patients
Fedko Emergency Physicians New Mexico LLC Emergency Medicine CurrentSince Mar 1, 2026 Accepting new patients
Cibola General Hospital Corporation CurrentSince Feb 3, 2026 Accepting new patients

Locations

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

1600 W University Ave
Ste 215
Flagstaff, AZ 86001
Phone (928) 214-3930

3700 W State Route 89A
Sedona, AZ 86336
Phone (928) 204-3000

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 726-6875

1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446

1423 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-6500

42121 US Highway 70
Portales, NM 88130
Phone (505) 226-3627

Organizations & group practices 8

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 6

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": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1720252158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W UNIVERSITY AVE STE 215",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013115",
            "telephone_number": "928-774-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N BEAVER ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013118",
            "telephone_number": "928-774-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SPENCER",
        "middle_name": "REID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "44283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.