Individual provider Active NPI

Leslie Epperly Spencer, FNP-BC

  • Family Nurse Practitioner
  • Gillette, WY
National Provider Identifier
1558097642
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
52021 Issued in WY
Practice address
1304 W 4TH St
Gillette, WY 82716-3330
Phone
(307) 685-1193
Fax
(307) 685-1193
NPI assigned
Jul 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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 52021 WY Primary

Addresses

Primary practice location

1304 W 4TH St
Gillette, WY 82716-3330

Mailing address

1304 W 4TH St
Gillette, WY 82716-3330
Phone (307) 682-8110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20240208001268 WY Practitioner - Nurse Practitioner 5799128542 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52021WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hoskinson Health & Wellness Clinic LLC CurrentSince Feb 1, 2026 Accepting new patients
Hoskinson Health & Wellness Clinic LLC CurrentSince Feb 1, 2026 Accepting new patients
Frontier Neurosciences, LLC CurrentSince Jan 16, 2024 Accepting new patients
James J Naramore, MD, PC CurrentSince Dec 1, 2024 Accepting new patients
Dynamic Health Carolinas, PLLC PastSince Jul 1, 2022 Accepting new patients
Dynamic Health Medical Group PLLC PastSince Jul 1, 2022 Accepting new patients
Gillette Reproductive Health PastSince Aug 10, 2025 Accepting new patients

Locations

407 S Medical Arts Ct
Ste D
Gillette, WY 82716
Phone (307) 686-0308

469 Wyoming Highway 50
Gillette, WY 82718
Phone (307) 387-9850

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18779/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/26742/brand/1/csg/1/fhir/r4
  • Direct secure messaging: leslie.spencer.1@18779.direct.athenahealth.com

Organizations & group practices 7

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": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1558097642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 W 4TH ST",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163330",
            "telephone_number": "307-682-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 W 4TH ST",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163330",
            "telephone_number": "307-685-1193",
            "fax_number": "307-685-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "LESLIE",
        "middle_name": "EPPERLY",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "52021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

Verify at the official NPI Registry.