Individual provider Active NPI

Spencer Stanger, NP

  • Family Nurse Practitioner
  • Rigby, ID
National Provider Identifier
1780194696
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
57005 Issued in ID
Practice address
711 Rigby Lake Dr Ste 115
Rigby, ID 83442-5230
Phone
(208) 745-5021
Fax
(208) 745-5026
NPI assigned
Oct 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 57005 ID Primary

Addresses

Primary practice location

711 Rigby Lake Dr Ste 115
Rigby, ID 83442-5230

Mailing address

711 Rigby Lake Dr Ste 115
Rigby, ID 83442-5230
Phone (208) 745-5021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180124002909 ID Practitioner - Nurse Practitioner 4486913274 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain View Hospital LLCGroup PAC ID 4486562774, 272 clinicians

Practice addresses (Care Compare)

2325 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 557-2700

Hospital & facility affiliations

  • Advanced Home Health Home health agency, Idaho Falls, ID, CCN 137116
  • Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065
  • Idaho Falls Community Hospital, LLC Hospital, Idaho Falls, ID, CCN 130074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Hospital LLC CurrentSince Apr 1, 2025 Accepting new patients
East Idaho Ear Nose Throat-Facial Plastic Surgery PA CurrentSince Jun 4, 2019 Accepting new patients
Bee Healthy CurrentSince Dec 22, 2025 Accepting new patients
Upper Valley Family Medicine PLLC CurrentSince Jan 1, 2018 Accepting new patients
Mountain View Hospital Physician Organization Past Accepting new patients
Robert J. Lee, M.D., PC PastSince Jul 1, 2002 Accepting new patients

Locations

560 W Sunnyside Rd
Ste B
Idaho Falls, ID 83402
Phone (208) 417-4899

3446 S 15th E
Idaho Falls, ID 83404
Phone (208) 522-4409

2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686

32 W 1st S
Rexburg, ID 83440
Phone (208) 356-7585

711 Rigby Lake Dr
Ste 115
Rigby, ID 83442
Phone (208) 745-5021

711 Rigby Lake Dr
Ste 1500
Rigby, ID 83442
Phone (208) 745-5021

530 Rigby Lake Dr
Rigby, ID 83442
Phone (208) 745-5021

205 Stockham Blvd
Ste C2
Rigby, ID 83442
Phone (208) 417-4899

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1780194696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 RIGBY LAKE DR STE 115",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425230",
            "telephone_number": "208-745-5021",
            "fax_number": "208-745-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 RIGBY LAKE DR STE 115",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425230",
            "telephone_number": "208-745-5021",
            "fax_number": "208-745-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANGER",
        "first_name": "SPENCER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "57005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rigby, ID

Sources for this page

Verify at the official NPI Registry.