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

Spencer Godfrey

Individual provider Family Nurse Practitioner · NPI 1073062295

Spencer Godfrey is a Nurse Practitioner in Lewiston, Idaho. Practices with Community Health Association of Spokane, a 223-clinician group and accepts Medicare assignment. Licensed in Idaho and Washington.

Licensed in
ID, WA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

1203 Idaho St
Lewiston, ID 83501-1940
Phone: (208) 848-8300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 62319 (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP60693813 (WA)

Record details

NPI number1073062295
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 28, 2016
Last updated in NPPESDecember 13, 2021
Certification dateDecember 13, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Group practice Community Health Association Of Spokane — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lewiston