Individual provider Active NPI

Nicholas Jon Spoerke, MD

  • Surgery Physician
  • Reno, NV
National Provider Identifier
1942401583
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
14314 Issued in NV
Practice address
75 Pringle Way
Suite 1002
Reno, NV 89502-1475
Phone
(775) 323-7500
Fax
(775) 789-9208
NPI assigned
May 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 14314 NV Primary
Surgical Critical Care Physician 2086S0102X 14314 NV
Trauma Surgery Physician 2086S0127X 14314 NV

Addresses

Primary practice location

75 Pringle Way
Suite 1002
Reno, NV 89502-1475

Mailing address

75 Pringle Way
Suite 1002
Reno, NV 89502-1475
Phone (775) 323-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260317003008 OR Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 0446416010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
New York Medical College, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2500 NE Neff Rd
Bend, OR 97701-6015

PO Box
Bend, OR 97708

PO Box
Suite 6095
Bend, OR 97708-6095

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
79.09
Promoting interoperability
100
Improvement activities
40
Cost
71.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14314NVMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Health System, Inc. CurrentSince Apr 1, 2026 Accepting new patients
Gomez Kozar McElreath Smith Surgery CurrentSince Sep 1, 2012 Accepting new patients
St. Charles Health System, Inc. CurrentSince Apr 1, 2026 Accepting new patients

Locations

75 Pringle Way
Ste 1002
Reno, NV 89502
Phone (702) 323-7500

2200 NE Neff Rd
Bend, OR 97701
Phone (541) 322-2323

1315 NW 4th St
Redmond, OR 97756
Phone (541) 388-2333

Organizations & group practices 3

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 2

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1942401583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PRINGLE WAY",
            "address_2": "SUITE 1002",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021475",
            "telephone_number": "775-323-7500",
            "fax_number": "775-789-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PRINGLE WAY",
            "address_2": "SUITE 1002",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021475",
            "telephone_number": "775-323-7500",
            "fax_number": "775-789-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOERKE",
        "first_name": "NICHOLAS",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "14314",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NV",
            "license": "14314",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NV",
            "license": "14314",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.