Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nicholas John Spangler, LP

Individual provider Clinical Neuropsychologist · NPI 1629548136

Dr. Nicholas John Spangler, LP is a Clinical Psychologist in Bloomington, Minnesota. Qualified in 2017, 9 years ago. Practices with Fraser Child and Family Center, a 55-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2018
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Practice location Address checks out

1801 American Blvd E Ste 1
Bloomington, MN 55425-1230
Phone: (952) 737-6273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X

Record details

NPI number1629548136
Entity typeIndividual (Type 1)
GenderMale
Credentials LP
Sole proprietorNo
NPI enumeratedNovember 27, 2018
Last updated in NPPESNovember 27, 2018
Mailing address1801 American Blvd E Ste 1, Bloomington, MN 55425-1230

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Fraser Child And Family Center — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bloomington