Individual provider Active NPI

Grace Anne Spencer, CRNP

  • Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1285158170
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-145586 Issued in AL
Practice address
817 Princeton Ave SW Ste 308
Birmingham, AL 35211-1349
Phone
(205) 787-2669
Fax
(205) 787-2865
NPI assigned
Aug 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 1-145586 AL Primary

Addresses

Primary practice location

817 Princeton Ave SW Ste 308
Birmingham, AL 35211-1349

Mailing address

817 Princeton Ave SW Ste 308
Birmingham, AL 35211-1349
Phone (205) 787-2669

Other practice location 1

1022 1st St N Ste 305
Alabaster, AL 35007-8781
Phone (205) 787-2669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20181205002918 AL Practitioner - Nurse Practitioner 3678817491 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vincentian Physician Services LLCGroup PAC ID 1557548161, 81 clinicians

Practice addresses (Care Compare)

48 Medical Park Dr E
Suite 154
Birmingham, AL 35235-3460
Phone (205) 838-3356

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC Single Specialty CurrentSince Jun 11, 2021 Accepting new patients
Vincentian Physician Services LLC Single Specialty CurrentSince Jul 25, 2022 Accepting new patients
Gardendale Physician Associates, P.C. Single Specialty Past Accepting new patients

Locations

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

50 Medical Park Dr E
Ste 158
Birmingham, AL 35235
Phone (205) 838-3156

48 Medical Park Dr E
Ste 154
Birmingham, AL 35235
Phone (205) 578-2383

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

7201 Happy Hollow Rd
Unit 202A
Trussville, AL 35173

7201 Happy Hollow Rd
Ste 200
Trussville, AL 35173
Phone (205) 506-6224

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: grace.spencer.1@9069.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285158170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 PRINCETON AVE SW STE 308",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111349",
            "telephone_number": "205-787-2669",
            "fax_number": "205-787-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 PRINCETON AVE SW STE 308",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111349",
            "telephone_number": "205-787-2669",
            "fax_number": "205-787-2865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1022 1st St N Ste 305",
            "address_purpose": "LOCATION",
            "city": "Alabaster",
            "state": "AL",
            "postal_code": "350078781",
            "country_code": "US",
            "telephone_number": "205-787-2669",
            "fax_number": "205-787-2865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "GRACE",
        "middle_name": "ANNE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-145586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.