Individual provider Active NPI

Kemberly Spencer, APRN

  • Family Nurse Practitioner
  • Mt Sterling, KY
National Provider Identifier
1245631878
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008850 Issued in KY
Practice address
103 Commonwealth Dr
Mt Sterling, KY 40353-9644
Phone
(859) 498-7716
Fax
(859) 497-0044
NPI assigned
Sep 15, 2014
Last updated
Sep 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3008850 KY Primary

Addresses

Primary practice location

103 Commonwealth Dr
Mt Sterling, KY 40353-9644

Mailing address

103 Commonwealth Dr
Mt Sterling, KY 40353-9644
Phone (859) 498-7716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20150520002040 KY Practitioner - Nurse Practitioner 1456671155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sterling Health Solutions IncGroup PAC ID 9436301686, 59 clinicians

Practice addresses (Care Compare)

103 Commonwealth Dr
Mount Sterling, KY 40353-9644
Phone (859) 498-7716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3008850KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Health Solutions Inc CurrentSince May 29, 2019 Accepting new patients
Sterling Health Solutions, Inc Family CurrentSince May 29, 2019 Accepting new patients
Mercy Health Clinics, LLC CurrentSince Oct 7, 2016 Accepting new patients
Mercy Health Clinics, LLC CurrentSince Oct 7, 2016 Accepting new patients
Mercy Health Clinics, LLC Past Accepting new patients

Locations

4307 Camargo Rd
Camargo, KY 40353

749 Irvine Rd
Clay City, KY 40312
Phone (606) 663-2153

1100 Richmond Rd
Irvine, KY 40336
Phone (606) 723-7706

1040 Maysville Rd
Mount Sterling, KY 40353
Phone (859) 498-3808

6601 Indian Mound Rd
Mount Sterling, KY 40353

809 Indian Mound Dr
Mount Sterling, KY 40353

103 Commonwealth Dr
Mt Sterling, KY 40353
Phone (859) 498-7715

3570 Indian Mound Dr
Mt Sterling, KY 40353
Phone (606) 497-8770

633 Maysville Rd
Mt Sterling, KY 40353
Phone (859) 274-4595

724 Woodford Dr
Mt Sterling, KY 40353
Phone (606) 498-8660

44 Water St
Owingsville, KY 40360
Phone (606) 674-9776

Interoperability endpoints

  • Direct secure messaging: kemberly.spencer.1@25737.direct.athenahealth.com

Organizations & group practices 5

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": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1245631878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 COMMONWEALTH DR",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403539644",
            "telephone_number": "859-498-7716",
            "fax_number": "859-497-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 COMMONWEALTH DR",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403539644",
            "telephone_number": "859-498-7716",
            "fax_number": "859-497-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "KEMBERLY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Sterling, KY

Sources for this page

Verify at the official NPI Registry.