Individual provider Active NPI

Spencer R Ferrell, MD

  • Obstetrics & Gynecology Physician
  • Waconia, MN
National Provider Identifier
1174009534
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
81018 Issued in MN
Practice address
424 W State Highway 5
Waconia, MN 55387-1795
Phone
(952) 442-4461
Fax
(952) 442-1547
NPI assigned
Jul 18, 2018
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 81018 MN Primary

Addresses

Primary practice location

424 W State Highway 5
Waconia, MN 55387-1795

Mailing address

424 W State Highway 5
Waconia, MN 55387-1795
Phone (952) 442-4461

Other practice location 1

110105 Pioneer Trl W
Chaska, MN 55318-2680
Phone (952) 556-0120

Other practice location 2

406 Faxon Rd N
Norwood, MN 55368-9507
Phone (952) 467-2888

Other practice location 3

313 Territorial St E
Watertown, MN 55388-9284
Phone (952) 955-1921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220826001437 SD Practitioner - Obstetrics/Gynecology 7012269368 Reassigns benefits to 1 organization
I20251007002459 MN Practitioner - Obstetrics/Gynecology 7012269368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Creighton University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yankton Medical Clinic PCGroup PAC ID 1850208778, 59 clinicians
Lakeview Clinic, LTD.Group PAC ID 6002801453, 52 clinicians

Practice addresses (Care Compare)

1104 W 8TH St
Yankton, SD 57078-3306
Phone (605) 665-7841

424 W State Hwy 5
Waconia, MN 55387-1723
Phone (952) 442-4461

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8353NEMDObstetrics & Gynecology Physician
13625SDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yankton Medical Clinic PC Obstetrics & Gynecology CurrentSince Sep 1, 2022 Accepting new patients
Yankton Medical Clinic PC Current Accepting new patients
Yankton Medical Clinic PC Current Accepting new patients
Lakeview Clinic, LTD. CurrentSince Sep 24, 2025 Accepting new patients
Yankton Medical Clinic PC CurrentSince Sep 1, 2022 Accepting new patients
Ridgeview Medical Center PastSince Sep 24, 2025 Accepting new patients
Sacred Heart Health Services Past Accepting new patients

Locations

110105 Pioneer Trl W
Chaska, MN 55318
Phone (952) 361-5800

110105 Pioneer Trl W
#100
Chaska, MN 55318
Phone (952) 556-0120

406 Faxon Rd N
Nya, MN 55368
Phone (952) 467-1915

424 W State Highway 5
Waconia, MN 55387
Phone (952) 442-4461

313 Territorial St E
Watertown, MN 55388
Phone (952) 442-4461

1104 W 8th St
Yankton, SD 57078
Phone (605) 665-7841

Interoperability endpoints

  • Direct secure messaging: spencerferrell@tv.allscriptsdirect.net
  • Direct secure messaging: sferrell@direct.yanktonmedicalclinic.nextgenshare.com

Organizations & group practices 7

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

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1174009534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 W STATE HIGHWAY 5",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871795",
            "telephone_number": "952-442-4461",
            "fax_number": "952-442-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 W STATE HIGHWAY 5",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871795",
            "telephone_number": "952-442-4461",
            "fax_number": "952-442-1547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110105 Pioneer Trl W",
            "address_purpose": "LOCATION",
            "city": "Chaska",
            "state": "MN",
            "postal_code": "553182680",
            "country_code": "US",
            "telephone_number": "952-556-0120",
            "fax_number": "952-556-0121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 Faxon Rd N",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "MN",
            "postal_code": "553689507",
            "country_code": "US",
            "telephone_number": "952-467-2888",
            "fax_number": "952-467-3258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "313 Territorial St E",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "MN",
            "postal_code": "553889284",
            "country_code": "US",
            "telephone_number": "952-955-1921",
            "fax_number": "952-955-3115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRELL",
        "first_name": "SPENCER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "81018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waconia, MN

Sources for this page

Verify at the official NPI Registry.