Individual provider Active NPI

Spencer Michael Fey, FNP-BC

  • Family Nurse Practitioner
  • Goose Creek, SC
National Provider Identifier
1326867607
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29477 Issued in SC
Practice address
103 Balbriggan Dr
Goose Creek, SC 29445-5754
Phone
(843) 834-1320
NPI assigned
Oct 4, 2024
Last updated
Oct 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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 29477 SC Primary

Addresses

Primary practice location

103 Balbriggan Dr
Goose Creek, SC 29445-5754

Mailing address

103 Balbriggan Dr
Goose Creek, SC 29445-5754
Phone (843) 834-1320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20250109001502 MT Practitioner - Nurse Practitioner 9931637683 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fallon Medical Complex IncGroup PAC ID 0941119499, shared by 4 NPIs, 6 clinicians

Practice addresses (Care Compare)

202 S 4TH St W
Baker, MT 59313-9156
Phone (406) 778-5303

PO Box
Baker, MT 59313

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fallon Medical Complex Inc CurrentSince Jan 1, 2025 Accepting new patients
Fallon Medical Complex Inc Current Accepting new patients
Fallon Medical Complex Inc CurrentSince Jan 1, 2025 Accepting new patients
Fallon Medical Complex Inc Past Accepting new patients

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1728000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1326867607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BALBRIGGAN DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455754",
            "telephone_number": "843-834-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BALBRIGGAN DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455754",
            "telephone_number": "843-834-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEY",
        "first_name": "SPENCER",
        "middle_name": "MICHAEL",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "29477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

Verify at the official NPI Registry.