Daniel Keith Spencer, AGPCNP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

0024172749 Issued in VA

Practice address

5140 Hatcher Rd
Dublin, VA 24084-4802

Phone

(540) 674-5260

Fax

(276) 783-2879

NPI assigned

Jul 17, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care Home health agency, Abingdon, VA, CCN 497566
• Medical Services of America Home Health and Hospice Home health agency, Richlands, VA, CCN 497027
• Amedisys Home Health Care Home health agency, Roanoke, VA, CCN 497275
• Home Nursing Services of Southwest VA Inc Home health agency, Abingdon, VA, CCN 497044

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Advanced Practice Adult-Gerontology

  • Gerontology Nurse Practitioner
  • Dublin, VA
  • NPI 1194195834
  Medicare reassignment NPD Authorized official

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

• Amedisys Home Health of Virginia LLC

  • Home Health Agency
  • Abingdon, VA
  • NPI 1225096886
  Care Compare affiliation
• Amedisys Home Health of Virginia Sub 2 LLC

  • Home Health Agency
  • Pulaski, VA
  • NPI 1164470738
  Care Compare affiliation
• Home Nursing Service of Southwest Virginia, Inc.

  • Home Health Agency
  • Abingdon, VA
  • NPI 1306830559
  Care Compare affiliation
• Total Home Health Care Inc

  • Home Health Agency
  • Richlands, VA
  • NPI 1508811001
  Care Compare affiliation

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447200000000",
    "number": "1376927590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 PINEY VIEW LN",
            "city": "MOUTH OF WILSON",
            "state": "VA",
            "postal_code": "243633694",
            "telephone_number": "276-768-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 HATCHER RD",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "240844802",
            "telephone_number": "540-674-5260",
            "fax_number": "276-783-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "DANIEL",
        "middle_name": "KEITH",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024172749",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024172749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Michelle Sinor, NP-BC
• William Matthew Skewes, MD
• Jacqueline Clouse Snell, ATC
• Autumn D. Snider
• Southwest Podiatry, P.C.
• Carolyn Lynn St Clair, PAC
• Stable Haven Counseling PLLC
• Knotresha Floreth Stewart, M.D.
• Gregory L. Still, MD
• William Thompson

• Gerontology Nurse Practitioner in Dublin, VA
• Providers in Dublin, VA by specialty
• Gerontology Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.