Jeremy Spencer, NURSE PRACTITIONER

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

4704286855 Issued in MI

Practice address

1525 W Caro Rd
Caro, MI 48723-9686

Phone

(989) 672-2100

NPI assigned

Dec 14, 2015

Last updated

May 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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 MI

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 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shattuck Family Physicians PLLCGroup PAC ID 4486949807, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Covenant Medical Center Hospital, Saginaw, MI, CCN 230070

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15478/brand/1/csg/1/fhir/r4
• Direct secure messaging: jeremy.spencer.1@20296.direct.athenahealth.com
• Direct secure messaging: jspencer145534@direct.covenanthealthcare.com

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.

• Shattuck Family Physicians PLLC

  • Internal Medicine Physician
  • Caro, MI
  • NPI 1801251194
  Medicare reassignment Care Compare group NPD
• Caro Express Clinic PLC

  dba Naik Health Care

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1922185750
  Medicare reassignment NPD
• Columbiaville Family Clinic PLLC

  dba Jehad Jafari Clinic

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1457716102
  Medicare reassignment NPD
• Dialysis Associates, P.C.

  • Specialist
  • Saginaw, MI
  • NPI 1467549618
  Medicare reassignment NPD
• Gladwin Family Care PLLC

  • Multi-Specialty Clinic/Center
  • Gladwin, MI
  • NPI 1932788577
  Medicare reassignment NPD
• Nephrology and Rheumatology Associates PLLC

  • Internal Medicine Physician
  • Grand Blanc, MI
  • NPI 1619738937
  Medicare reassignment NPD
• Saginaw Cooperative Hospitals, Inc

  dba Cmu Medical Education Partners

  • Internal Medicine Physician
  • Saginaw, MI
  • NPI 1346344991
  Medicare reassignment NPD
• Kidney Disease & Hypertension Consultants PC

  • Nephrology Physician
  • Flint, MI
  • NPI 1548329683
  Medicare reassignment NPD (past)
• Dialysis Associates P.C.

  • Specialist
  • Saginaw, MI
  • NPI 1336637719
  NPD
• Purushottam Naik, M.D, P.C.

  dba Purushottam Naik, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Flint, MI
  • NPI 1184766958
  NPD
• Saginaw Cooperative Hospital Inc

  • Hospitalist Physician
  • Saginaw, MI
  • NPI 1548877434
  NPD
• Saginaw Valley Walk in Clinic, PLLC

  dba Saginaw Valley Medical Care

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1770883738
  NPD

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

• Covenant Medical Center, Inc.

  dba Covenant Healthcare

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1588656946
  Care Compare affiliation

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716681600000",
    "number": "1174998371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 N STATE ST",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231537",
            "telephone_number": "989-673-6191",
            "fax_number": "989-672-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W CARO RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239686",
            "telephone_number": "989-672-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "JEREMY",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-14",
        "last_updated": "2024-05-26",
        "certification_date": "2024-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704286855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian M Smith, PTA
• Suzanne S Smith, RPH
• Janna Snyder
• Kelli Spaulding, RN
• Breanna Jane Spencer, RN
• Ellen S Spes, RN
• M Ann Spillan, DO
• Kevin Spyker, LPTA
• Tricia Ann Staple
• Starfish Psychological Services LLC

• Gerontology Nurse Practitioner in Caro, MI
• Providers in Caro, MI by specialty
• Gerontology Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2024; 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.