Mary Spencer, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R196874 Issued in MD

Practice address

8061 Springfield Rd
Glenn Dale, MD 20769-9605

Phone

(434) 390-6641

Fax

(240) 206-3855

NPI assigned

Jul 18, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Columbia, MD, CCN 217071
• Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
• Americare in Home Nursing Home health agency, Fort Washington, MD, CCN 217152
• Homecall Home health agency, Easton, MD, CCN 217066
• Amedisys Home Health of Maryland Home health agency, Glen Burnie, MD, CCN 217108
• Hospice of the Chesapeake, Inc. Hospice, Pasadena, MD, CCN 211509
• Luminis Health Gilchrist Life Care Institute Hospice, Annapolis, MD, CCN 211546

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: mary.spencer.1@21143.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spencer Family Practice LLC

  • Family Medicine Physician
  • Glenn Dale, MD
  • NPI 1568032464
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Homecall, LLC

  • Home Health Agency
  • Easton, MD
  • NPI 1700971843
  Care Compare affiliation Name & address match
• Amedisys Maryland LLC

  • Home Health Agency
  • Glen Burnie, MD
  • NPI 1841248697
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Forest Hill, MD
  • NPI 1528352747
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Columbia, MD
  • NPI 1558680447
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Glen Burnie, MD
  • NPI 1578501789
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Towson, MD
  • NPI 1902843451
  Care Compare affiliation
• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Columbia, MD
  • NPI 1922035880
  Care Compare affiliation
• Hospice of the Chesapeake, Inc.

  • Community Based Hospice Care Agency
  • Pasadena, MD
  • NPI 1386622595
  Care Compare affiliation
• Jar, Inc.

  • Home Health Agency
  • Landover, MD
  • NPI 1679515902
  Care Compare affiliation
• Luminis Health Gilchrist Lifecare Institute, LLC

  • Community Based Hospice Care Agency
  • Annapolis, MD
  • NPI 1992462667
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1073966735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 GLENN DALE RD",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699288",
            "telephone_number": "434-390-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8061 SPRINGFIELD RD",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699605",
            "telephone_number": "434-390-6641",
            "fax_number": "240-206-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "MARY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R196874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skinvana Medspa
• Smile HQ Mitchellville
• Lanita Marchel Smith
• Nicolas Smith
• Spencer Family Practice LLC
• Sports Pro Physical Therapy LLC.
• Suburban Nephrology Associates LLC
• Success Is Yours Inc.
• Synergy Spine and Pain Center, LLC
• Synergy Surgery Center, LLC

• Family Nurse Practitioner in Glenn Dale, MD
• Providers in Glenn Dale, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.