Active NPI
Spencer Claussen, NP
- Psychiatric/Mental Health Nurse Practitioner
- Cottonwood, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP10503
- Practice address
- 197 S Willard St
Cottonwood, AZ 86326-4123 - Phone
- (480) 985-1093
- Fax
- (480) 296-7665
- NPI assigned
- Jul 21, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP10503 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP10503 | AZ | Primary |
Addresses
Primary practice location
197 S Willard St
Cottonwood, AZ 86326-4123
Mailing address
PO Box 20610
Mesa, AZ 85277-0610
Phone (480) 985-1093
Other practice location 1
1090 Commerce Dr
Prescott, AZ 86305-3700
Phone (928) 583-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 316228 | Medicaid | AS | |
| AP10503 | Other | AZ | AANP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
255 W Brown Rd
Mesa, AZ 85201-3404
Phone (480) 833-3988
4022 E Presidio St
Mesa, AZ 85215-1113
Phone (480) 985-1093
4704 W Diana Ave
Glendale, AZ 85302-5125
Phone (623) 505-9880
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Claussen Collaborative Medical Clinic LLC | Family | Current | Accepting new patients |
| County of Yavapai | Current | Accepting new patients | |
| Lifeline Hospitalist Associates LLC | Current | Accepting new patients | |
| Ternion Physician Group, PLLC | Nurse Practitioner | Current | Accepting new patients |
Locations
197 S Willard St
Cottonwood, AZ 86326
Phone (801) 296-5111
800 W University Ave
Flagstaff, AZ 86001
Phone (928) 779-6931
4704 W Diana Ave
Glendale, AZ 85302
Phone (623) 247-3949
4022 E Presidio St
Mesa, AZ 85215
Phone (480) 296-7642
255 W Brown Rd
Mesa, AZ 85201
Phone (480) 833-3988
42104 N Venture Dr
Ste D118
Phoenix, AZ 85086
Phone (623) 505-4479
1090 Commerce Dr
Prescott, AZ 86305
Phone (928) 583-1000
Interoperability endpoints
- spencer.claussen.1@30267.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.
-
- Family Nurse Practitioner
- Prescott, AZ
- NPI 1023886546
-
- Internal Medicine Physician
- Mesa, AZ
- NPI 1265107478
-
- Internal Medicine Physician
- Anthem, AZ
- NPI 1013466192
Nurse Practitioner
-
- Internal Medicine Physician
- Mesa, AZ
- NPI 1669246070
-
dba Yavapai County Community Health Services
- Public Health or Welfare Agency
- Prescott, AZ
- NPI 1952501389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1255854246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20610",
"city": "MESA",
"state": "AZ",
"postal_code": "852770610",
"telephone_number": "480-985-1093",
"fax_number": "480-296-7665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 S WILLARD ST",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264123",
"telephone_number": "480-985-1093",
"fax_number": "480-296-7665"
}
],
"practiceLocations": [
{
"address_1": "1090 Commerce Dr",
"address_purpose": "LOCATION",
"city": "Prescott",
"state": "AZ",
"postal_code": "863053700",
"country_code": "US",
"telephone_number": "928-583-1000",
"fax_number": "866-323-8458",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLAUSSEN",
"first_name": "SPENCER",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-21",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP10503",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "AP10503",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "316228",
"state": "AS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANP",
"identifier": "AP10503",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cottonwood, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.