Individual provider Active NPI

Deborah Spencer

  • Psychiatric/Mental Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1366716094
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401456 Issued in NY
Practice address
100 Pinewild Dr
Suite 2a
Rochester, NY 14606-4200
Phone
(585) 368-6700
Fax
(585) 368-6767
NPI assigned
Feb 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 401456 NY Primary

Addresses

Primary practice location

100 Pinewild Dr
Suite 2a
Rochester, NY 14606-4200

Mailing address

100 Pinewild Dr
Suite 2a
Rochester, NY 14606-4200
Phone (585) 368-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20170210001700 NY Practitioner - Nurse Practitioner 8224311592 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henrietta Psychiatric NP Care, PLLCGroup PAC ID 7416333745, 10 clinicians

Practice addresses (Care Compare)

250 B Lucius Gordon Dr
Suite 2
West Henrietta, NY 14586-9662
Phone (585) 471-3407

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
401456NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester CurrentSince Jan 9, 2017 Accepting new patients
Henrietta Psychiatric NP Care, PLLC CurrentSince Feb 1, 2025 Accepting new patients
Liberty Resources Inc. CurrentSince Jan 16, 2018 Accepting new patients
Liberty Resources, Inc. CurrentSince Jan 16, 2018 Accepting new patients
The Unity Hospital of Rochester CurrentSince Jan 9, 2017 Accepting new patients

Locations

175 N Winton Rd
Rochester, NY 14610
Phone (585) 288-9230

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

100 Pinewild Dr
#2A
Rochester, NY 14606
Phone (585) 368-6700

81 Lake Ave
Rochester, NY 14608
Phone (585) 368-6900

1045 James St
Syracuse, NY 13203
Phone (315) 425-1004

250 Lucius Gordon Dr
Ste 2
West Henrietta, NY 14586
Phone (585) 471-3407

Interoperability endpoints

  • Direct secure messaging: despencer@hiemail.healtheconnections.org
  • Direct secure messaging: deborah.spencer.p1@direct.liberty-resources.nextgenshare.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1366716094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PINEWILD DR",
            "address_2": "SUITE 2A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146064200",
            "telephone_number": "585-368-6700",
            "fax_number": "585-368-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PINEWILD DR",
            "address_2": "SUITE 2A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146064200",
            "telephone_number": "585-368-6700",
            "fax_number": "585-368-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "DEBORAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-27",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.