NPIMap

Individual provider Active NPI

Julie Spencer, M.D.

  • Family Medicine Physician
  • Omaha, NE
National Provider Identifier
1447300447
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19181 Issued in NE
Practice address
17520 Wright St Ste 105
Omaha, NE 68130-4657
Phone
(402) 991-5353
Fax
(402) 991-5444
NPI assigned
Jan 11, 2007
Last updated
Jan 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19181 NE Primary

Addresses

Primary practice location

17520 Wright St Ste 105
Omaha, NE 68130-4657

Mailing address

17520 Wright St Ste 105
Omaha, NE 68130-4657
Phone (402) 991-5353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100224000774 NE Practitioner - Family Practice 2961546247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Essential Family Medicine of Omaha LLCGroup PAC ID 0648570077, 4 clinicians

Practice addresses (Care Compare)

17520 Wright St
Suite 105
Omaha, NE 68130-4657
Phone (402) 991-5353

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19181NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Family Medicine of Omaha, LLC Family Medicine CurrentSince Jan 15, 2016 Accepting new patients
Alegent Creighton Clinic Family Medicine Past Accepting new patients
Legacy Eyecare, LLC PastSince Jan 15, 2016 Accepting new patients

Locations

17520 Wright St
Ste 105
Omaha, NE 68130
Phone (402) 614-3200

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: jspencer@efmool-ne.direct.office.nextgen.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1447300447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17520 WRIGHT ST STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304657",
            "telephone_number": "402-991-5353",
            "fax_number": "402-991-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17520 WRIGHT ST STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304657",
            "telephone_number": "402-991-5353",
            "fax_number": "402-991-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "JULIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "19181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.