Individual provider Active NPI

Stephanie Spurgat

  • Psychiatry Physician
  • Springfield, OR
National Provider Identifier
1912402900
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD220040 Issued in OR
Practice address
3333 Riverbend Dr
Springfield, OR 97477-8800
Phone
(541) 222-2185
Fax
(541) 222-2185
NPI assigned
Mar 29, 2018
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X MD220040 OR Primary
Psychiatry Physician 2084P0800X E-14675 AR

Addresses

Primary practice location

3333 Riverbend Dr
Springfield, OR 97477-8800

Mailing address

4301 W Markham St
Little Rock, AR 72205-7101
Phone (501) 526-8100

Other practice location 1

4301 W Markham St # 589
Little Rock, AR 72205-7101
Phone (501) 526-8100

Other practice location 2

770 E 11th Ave
Eugene, OR 97401-3746
Phone (458) 205-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, ME2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211221001447 AR Practitioner - Psychiatry 6709134257 Reassigns benefits to 2 organizations
I20220929002714 ME Practitioner - Psychiatry 6709134257 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acadia Hospital Corp CurrentSince Jul 25, 2022 Accepting new patients
Arkansas Health Group CurrentSince Jul 17, 2023 Accepting new patients
Uhs of Springwoods LLC CurrentSince Nov 19, 2021 Accepting new patients
Arkansas Health Group Psychiatry Current Accepting new patients
Arkansas Health Group CurrentSince Jul 17, 2023 Accepting new patients
Acadia Healthcare, Inc Past Accepting new patients

Locations

1955 W Truckers Dr
Fayetteville, AR 72704
Phone (479) 973-6000

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

3201 Springhill Dr
Ste 400
North Little Rock, AR 72117
Phone (501) 945-8838

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470

Interoperability endpoints

  • Direct secure messaging: sspurgat654800@direct.peacehealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1912402900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-526-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 RIVERBEND DR",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974778800",
            "telephone_number": "541-222-2185",
            "fax_number": "541-222-2185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St # 589",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-526-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "770 E 11th Ave",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013746",
            "country_code": "US",
            "telephone_number": "458-205-7000",
            "fax_number": "458-205-7022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPURGAT",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD220040",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-14675",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.