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

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.

Hospital & facility affiliations 1

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

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 Hospital · Bowling Green, OH · CCN 360029

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 IDStateProvider typePAC IDDetails
I20230421000941 OH Practitioner - Nurse Practitioner 7012200728 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0031216OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wood Health Company LLC Current
since May 27, 2023
Accepting new patients
Northwest Pediatric Specialists, LLC Current
since Apr 13, 2026
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

  • FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://hkc.nationwidechildrens.org/FHIR/MYCHART/api/FHIR/R4
  • Direct secure messaging: andrea.spencerkemler.p1@direct.whc.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0490164MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 17, 2023.

{
    "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

All providers in Stanton, MI · Family Nurse Practitioner in Michigan

Sources for this page

Verify at the official NPI Registry.