Individual provider Active NPI

Spencer A Hamner, PA-C

  • Surgical Physician Assistant
  • Lincoln, NE
National Provider Identifier
1598853715
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
1186 Issued in NE
Practice address
2300 S 16TH St
Lincoln, NE 68502-3704
Phone
(402) 481-5190
Fax
(402) 481-5377
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 1186 NE Primary

Addresses

Primary practice location

2300 S 16TH St
Lincoln, NE 68502-3704

Mailing address

3883 Normal Blvd
Ste 204
Lincoln, NE 68506-5244
Phone (402) 483-8591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20140715002179 CO Practitioner - Physician Assistant 1557356813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Dermatology of Montrose, LLCGroup PAC ID 7012137995, 4 clinicians
Jeffrey S. Williams, DO, PCGroup PAC ID 2466762406, 4 clinicians

Practice addresses (Care Compare)

3480 Wolverine Dr
Suite F
Montrose, CO 81401-4965
Phone (970) 252-7444

575 Rivergate LN
Unit 205
Durango, CO 81301-7490
Phone (970) 259-5990

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.54 of 100Reported as individual
Quality
97.03
Improvement activities
40
Cost
89.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1186NEMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey S. Williams, DO, PC CurrentSince Feb 28, 2026 Accepting new patients
Orthopaedics-Indianapolis, Inc Past Accepting new patients
Dermatology of Southeastern Ohio, Inc. Past Accepting new patients

Organizations & group practices 4

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 2

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598853715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3883 NORMAL BLVD",
            "address_2": "STE 204",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065244",
            "telephone_number": "402-483-8591",
            "fax_number": "402-481-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S 16TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023704",
            "telephone_number": "402-481-5190",
            "fax_number": "402-481-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMNER",
        "first_name": "SPENCER",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NE",
            "license": "1186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.