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

Spencer William Halvorson

Individual provider Physician Assistant · NPI 1679318844

Spencer William Halvorson is a Physician Assistant in Farmington, New Mexico. Qualified in 2024, 2 years ago. Practices with Orthopedic Associates PA, a 19-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
2
Licensed in
NM
In the registry since
2024
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Practice location Address checks out

2300 E 30th St Ste 101
Farmington, NM 87401-8990
Phone: (505) 208-6280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2024-0070 (NM)

Record details

NPI number1679318844
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 28, 2024
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026
Mailing addressPo Box 844088, Dallas, TX 75284-4088

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Orthopedic Associates Pa — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Farmington