Individual provider Active NPI

Sandra K. Spencer, FNP

  • Family Nurse Practitioner
  • Stearns, KY
National Provider Identifier
1497770903
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3005561 Issued in KY
Practice address
2157 S Highway 27
Stearns, KY 42647-6297
Phone
(606) 376-9700
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3005561 KY Primary

Addresses

Primary practice location

2157 S Highway 27
Stearns, KY 42647-6297

Mailing address

PO Box 28
Stearns, KY 42647-0028
Phone (063) 769-7006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20080808000094 KY Practitioner - Nurse Practitioner 2860498649 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope Primary and Urgent Care PLLC 11 clinicians

Practice addresses (Care Compare)

2157 S Hwy 27
Stearns, KY 42647-6297
Phone (606) 376-9700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gim of Kentucky PLLC Family CurrentSince Dec 1, 2024 Accepting new patients
Hope Primary & Urgent Care of Williamsburg PLLC CurrentSince Sep 11, 2024 Accepting new patients
Hope Primary & Urgent Care PLLC CurrentSince Sep 11, 2024 Accepting new patients
Lung and Sleep Clinic of Alaska Inc PastSince Jun 1, 2009 Accepting new patients
Heart of Eagle River Medical Clinic PastSince Jul 1, 2007 Accepting new patients
Southfork Medical Clinic PLLC PastSince Oct 8, 2023 Accepting new patients

Locations

708 Bartley Ave
Bardstown, KY 40004
Phone (502) 348-9260

2157 S Highway 27
Stearns, KY 42647
Phone (606) 376-9700

71 Medical Ln
Whitley City, KY 42653
Phone (606) 376-7212

896 S Highway 25 W
Williamsburg, KY 40769
Phone (606) 376-9700

Organizations & group practices 6

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1497770903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "STEARNS",
            "state": "KY",
            "postal_code": "426470028",
            "telephone_number": "063-769-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 S HIGHWAY 27",
            "city": "STEARNS",
            "state": "KY",
            "postal_code": "426476297",
            "telephone_number": "606-376-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "SANDRA",
        "middle_name": "K.",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3005561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stearns, KY

Sources for this page

Verify at the official NPI Registry.