Individual provider Active NPI

Karen L Spencer, ACNP-BC CRNP

  • Acute Care Nurse Practitioner
  • Washington, DC
National Provider Identifier
1275627952
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R162713 Issued in MD
Practice address
50 Irving Street N.W.
Washington, DC 20422
Phone
(202) 745-5616
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R162713 MD Primary

Addresses

Primary practice location

50 Irving Street N.W.
Washington, DC 20422

Mailing address

12818 Carousel CT
Upper Marlboro, MD 20772-6402
Phone (313) 478-6338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230912002256 DC Practitioner - Nurse Practitioner 3072977834
I20260227002554 MD Practitioner - Nurse Practitioner 3072977834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

185 Route 70
Toms River, NJ 08755

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R162713MDMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SNF Physiatry Services MD LLC CurrentSince Jan 20, 2026 Accepting new patients
Full Motion Life & Sport PLLC PastSince Sep 10, 2023 Accepting new patients

Locations

400 E Pratt St
Fl 8
Baltimore, MD 21202
Phone (410) 505-0521

185 Route 70
Ste 305
Toms River, NJ 08755

185 Route 70
Ste 302
Toms River, NJ 08755
Phone 7328130799105

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1275627952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12818 CAROUSEL CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207726402",
            "telephone_number": "313-478-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 IRVING STREET N.W.",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20422",
            "telephone_number": "202-745-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "KAREN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "ACNP-BC CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R162713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.