Individual provider Active NPI

Precious Monique Spencer, PMHNP-BC, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Celebration, FL
National Provider Identifier
1235620527
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11000203 Issued in FL
Practice address
1420 Celebration Blvd Ste 200
Celebration, FL 34747-5162
Phone
(407) 676-4276
Fax
(888) 684-2566
NPI assigned
May 23, 2018
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 18312081156 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11000203 FL Primary
Registered Nurse 163W00000X 4704247506 MI

Addresses

Primary practice location

1420 Celebration Blvd Ste 200
Celebration, FL 34747-5162

Mailing address

1420 Celebration Blvd
Celebration, FL 34747-5159
Phone (800) 614-4124

Other practice location 1

1602 Waldman Ave
Flint, MI 48507-1509
Phone (407) 676-4276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI, WA, GA, TX5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20200611001753 FL Practitioner - Nurse Practitioner 5890117287 Reassigns benefits to 3 organizations
I20211230002064 MI Practitioner - Nurse Practitioner 5890117287 Reassigns benefits to 2 organizations
I20221003002069 WA Practitioner - Nurse Practitioner 5890117287 Reassigns benefits to 1 organization
I20240430003674 GA Practitioner - Nurse Practitioner 5890117287 Reassigns benefits to 2 organizations
I20250312002928 TX Practitioner - Nurse Practitioner 5890117287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brave Health Medical Group, PAGroup PAC ID 9537586052, 93 clinicians
Lifesource of North CarolinaGroup PAC ID 7416132428, 172 clinicians
Brave Health Inc.Group PAC ID 8123458981, 112 clinicians

Practice addresses (Care Compare)

1 W Court SQ
Suite 750
Decatur, GA 30030-2545
Phone (305) 902-6347

114 River Pass CT
Dacula, GA 30019-2197
Phone (305) 902-6347

1345 Redmond Cir NW
Rome, GA 30165-1307
Phone (910) 742-9243

13934 Painted Bunting LN
Riverview, FL 33579-3525
Phone (305) 902-6347

1951 NW 7TH Ave
FL 3
Miami, FL 33136-1104

5530 Northop Rd
Milton, FL 32570-8701
Phone (910) 742-9243

675 Town Square Blvd
Garland, TX 75040-2992
Phone (305) 579-9538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
18312081156MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Healthcare CurrentSince Jul 11, 2022 Accepting new patients
PM Spencer Psychiatry LLC Psychiatric/Mental Health Current Accepting new patients
Brave Health Medical Group PA CurrentSince Dec 12, 2025 Accepting new patients
Kalamazoo County Community Mental Health Authority CurrentSince Oct 1, 2022 Accepting new patients
Comprehensive Healthcare CurrentSince Jul 11, 2022 Accepting new patients
Kalamazoo County Community Mental Health Authority CurrentSince Oct 1, 2022 Accepting new patients
Lifesource of North Carolina CurrentSince Mar 1, 2024 Accepting new patients
Wellness Mindset Counseling Services LLC Psychiatric/Mental Health CurrentSince Sep 1, 2024 Accepting new patients
Catalyst for Change Psychiatric & Counseling Services Past Accepting new patients

Locations

1420 Celebration Blvd
Ste 200
Kissimmee, FL 34747
Phone (407) 554-9586

7157 Narcoossee Rd
Orlando, FL 32822
Phone (321) 718-8008

1417 Hamlin Ave
Unit G
Saint Cloud, FL 34771
Phone (407) 346-1466

1345 Redmond Cir NW
Rome, GA 30165
Phone (706) 234-8281

2030 Portage St
Kalamazoo, MI 49001
Phone (269) 553-7132

418 W Kalamazoo Ave
Kalamazoo, MI 49007
Phone (269) 373-6000

615 E Crosstown Pkwy
Kalamazoo, MI 49001
Phone (269) 373-6000

675 Town Square Blvd
Ste 200
Garland, TX 75040
Phone (305) 579-9538

1319 Saul Rd
Sunnyside, WA 98944
Phone (509) 576-4337

402 S 4th Ave
Yakima, WA 98902
Phone (509) 575-3874

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1235620527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 CELEBRATION BLVD",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475159",
            "telephone_number": "800-614-4124",
            "fax_number": "888-684-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 CELEBRATION BLVD STE 200",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475162",
            "telephone_number": "407-676-4276",
            "fax_number": "888-684-2566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1602 Waldman Ave",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485071509",
            "country_code": "US",
            "telephone_number": "407-676-4276",
            "fax_number": "888-684-2566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "PRECIOUS",
        "middle_name": "MONIQUE",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "18312081156",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11000203",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704247506",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

Verify at the official NPI Registry.