Andrea Spencer-Kemler
Individual provider Active NPI Family Nurse Practitioner · Stanton, MI
NPI 1487006359 · NPPES record last updated Mar 17, 2023
Key facts
- NPI
- 1487006359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN.CNP.0031216 (OH)
- Practice address
- 806 N State St
Suite B
Stanton, MI 48888-9708 - Phone
- (989) 283-2595
- NPI assigned
- Jul 5, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
745 Haskins Rd B
Bowling Green, OH 43402-1600
Hospital & facility affiliations
- Wood County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230421000941 | OH | Practitioner - Nurse Practitioner | 7012200728 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0031216 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wood Health Company LLC | Current |
Accepting new patients | |
| Northwest Pediatric Specialists, LLC | Current |
Accepting new patients |
Locations
745 Haskins Rd
Ste B
Bowling Green, OH 43402
Phone (419) 373-7607
970 W Wooster St
Rm 130
Bowling Green, OH 43402
Phone (419) 352-5899
700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411
141 N Keyser Ave
Deshler, OH 43516
Phone (419) 278-2065
Interoperability endpoints
- https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://hkc.nationwidechildrens.org/FHIR/MYCHART/api/FHIR/R4
- andrea.spencerkemler.p1@direct.whc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0031216 | OH | Yes |
Addresses
Primary practice location
806 N State St
Suite B
Stanton, MI 48888-9708
Mailing address
970 W Wooster St RM 130
Bowling Green, OH 43402-2652
Phone (419) 352-6890
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0490164 | Medicaid | OH |
NPI Registry JSON
{
"created_epoch": "1467676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1487006359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 W WOOSTER ST RM 130",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434022652",
"telephone_number": "419-352-6890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 N STATE ST",
"address_2": "SUITE B",
"city": "STANTON",
"state": "MI",
"postal_code": "488889708",
"telephone_number": "989-283-2595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER-KEMLER",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-05",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0031216",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0490164",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stanton, MI
- Rachel A Sowles
- Sparrow Carson Hospital
- Rose Marie Spear
- Spectrum Health United
- Spectrum Health United
- Aliyah Danielle Spicer
- Robin Michael Sprague
- Shelly Springsteen
- Stanton Family Dental Care PLLC
- Tammy Stearns
All providers in Stanton, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.