Active NPI
Spencer D Meeks, AGPCNP-BC
- Gerontology Nurse Practitioner
- Fort Wayne, IN
National Provider Identifier
1104734623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 71018580A
- Practice address
- 300 E Washington Blvd
Fort Wayne, IN 46802-3124 - Phone
- (260) 422-5511
- NPI assigned
- Aug 28, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 71018580A | IN | Primary |
Addresses
Primary practice location
300 E Washington Blvd
Fort Wayne, IN 46802-3124
Mailing address
101 Cabarrus Ave E Ste 20
Concord, NC 28025-3699
Phone (844) 932-5700
Other practice location 1
10445 DuPont Oaks Blvd
Fort Wayne, IN 46845-8792
Phone (260) 529-5419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1104734623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CABARRUS AVE E STE 20",
"city": "CONCORD",
"state": "NC",
"postal_code": "280253699",
"telephone_number": "844-932-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E WASHINGTON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468023124",
"telephone_number": "260-422-5511"
}
],
"practiceLocations": [
{
"address_1": "10445 DuPont Oaks Blvd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468458792",
"country_code": "US",
"telephone_number": "260-529-5419",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEEKS",
"first_name": "SPENCER",
"middle_name": "D",
"credential": "AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-28",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IN",
"license": "71018580A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.