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Spencer Patrick Fayles, PA-S

NPI 1679459978ActiveIndividual· Physician Assistant, Medical· Puyallup, WA

Physician Assistant, Medical (PA-S) in Puyallup, Washington, licensed in WA, with an NPI issued in August 2025. Enrolled in Medicare as practitioner - physician assistant.

Overview

NPI1679459978
StatusActive
Entity typeIndividual
CredentialPA-S
Sole proprietorNo
NPI issuedAug 12, 2025
Last updated in NPPESAug 12, 2025
Certified by providerAug 12, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Medical Primary363AM0700XPENDINGWA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (WA)

Medicare sources and data years

Education and affiliations

Graduation year2025
Medicare specialtyPhysician Assistant

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant, Medical providers in Puyallup

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