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

Katrina E Spangenberg, MD

Individual provider Family Medicine Physician · NPI 1285209296

Katrina E Spangenberg, MD is a Family Practice in Pocatello, Idaho. Qualified in 2021, 5 years ago. Practices with Midtown Community Health Center Inc, a 26-clinician group and accepts Medicare assignment. Licensed in Idaho and Utah.

Years since qualifying
5
Licensed in
ID, UT
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

465 Memorial Dr
Pocatello, ID 83201-4008
Phone: (208) 234-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MRM-2045 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence 13821094-1205 (UT)

Record details

NPI number1285209296
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 21, 2021
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024
Mailing address2240 Adams Ave, Ogden, UT 84401-1511

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Midtown Community Health Center Inc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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