Patricia Helen Spisak-Dial, MSN, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2822282 Issued in FL

Practice address

1700 S 23Rd St
Fort Pierce, FL 34950-4803

Phone

(772) 468-4551

NPI assigned

May 15, 2006

Last updated

Apr 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Vitas Solutions Inc

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Miramar, FL
  • NPI 1861666497
  Medicare reassignment NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1912958851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5254 SE HORSESHOE POINT ROAD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34997",
            "telephone_number": "772-631-9687",
            "fax_number": "772-419-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S 23RD ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504803",
            "telephone_number": "772-468-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPISAK-DIAL",
        "first_name": "PATRICIA",
        "middle_name": "HELEN",
        "name_prefix": "Mrs.",
        "credential": "MSN, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2822282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14213142",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3081184 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanne Spess
• Julie Anna Spiesel, RN
• Carlos David Spikes
• Spine & Extremity Rehabilatation
• Spirit of Compassion
• Sports Imaging Centers, LLC (Windsor Imaging)
• Sportspain & Spinal Rehab Inc.
• Molly Spruill, LMHC
• Colette Carol St Andre, LMHC, CAP
• St Lucie Diagnostic Center Inc

• Family Nurse Practitioner in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.