Marie Julie Spencer, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

476594 Issued in CA

Practice address

591 McCray St Ste 231
Hollister, CA 95023-2224

Phone

(831) 636-3116

Fax

(831) 636-1204

NPI assigned

Feb 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: spencer.marie.001.0050732@whfsbp.meditab.direct-ci.com
• Direct secure messaging: marie.spencer@hhch.eclinicaldirectplus.com

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.

• Bass Medical Group

  • Obstetrics & Gynecology Physician
  • Walnut Creek, CA
  • NPI 1174253405
  Medicare reassignment NPD
• Bass Medical Group

  • Specialist
  • Walnut Creek, CA
  • NPI 1154401941
  NPD
• Bass Medical Group

  • Orthopaedic Surgery Physician
  • San Ramon, CA
  • NPI 1467329904
  NPD

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1346600772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 MCCRAY ST STE 231",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950232224",
            "telephone_number": "831-636-3116",
            "fax_number": "831-636-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 MCCRAY ST STE 231",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950232224",
            "telephone_number": "831-636-3116",
            "fax_number": "831-636-1204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 Sunset Dr",
            "address_2": "Suite B2",
            "address_purpose": "LOCATION",
            "city": "Hollister",
            "state": "CA",
            "postal_code": "950235651",
            "country_code": "US",
            "telephone_number": "831-636-8888",
            "fax_number": "831-636-8805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "MARIE",
        "middle_name": "JULIE",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "476594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda So9Za
• Ruby A Soto
• Javier Sotomayor Tapia
• Victoria A Soza
• Stacie Specials, LVN
• Catherine Joanna Squires, LVN
• Jessica Elizabeth Stanford, OTR/L CHT
• Linley Maurine Stanger, RN
• Greg L. Stephens, DDS
• Jasmine Sade Stephens

• Pediatric Nurse Practitioner in Hollister, CA
• Providers in Hollister, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.