Jesse Neil Spencer, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4795700-1205 Issued in UT

Practice address

460 N Main St
Richfield, UT 84701-1836

Phone

(495) 896-5496

NPI assigned

Jun 23, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Colorado School of Medicine, Denver, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• At Home Health Care Home health agency, Salina, UT, CCN 467112
• Intermountain Health Home Health - Mt. Pleasant Home health agency, Mt. Pleasant, UT, CCN 467016
• Zion'S Way Home Health Home health agency, St. George, UT, CCN 467243
• Intermountain Health Sevier Valley Hospital Hospital, Richfield, UT, CCN 460026
• Intermountain Health Utah Valley Hospital Hospital, Provo, UT, CCN 460001
• Intermountain Health Garfield Memorial Hospital Hospital, Panguitch, UT, CCN 461333
• Stonehenge of Richfield Nursing home, Richfield, UT, CCN 465173

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Kane County Human Resource Special Service District

  • Skilled Nursing Facility
  • Richfield, UT
  • NPI 1144554734

  5% Or Greater Indirect Ownership Interest, Adp of the SNF, Indirect Ownership Interest, Operational/Managerial Control

  CMS ownership

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.

• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Murray, UT
  • NPI 1629260880

  Family Medicine

  Medicare reassignment NPD
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Sandy, UT
  • NPI 1942325154
  Medicare reassignment NPD
• Ihc Health Services Inc

  • Diagnostic Radiology Physician
  • Logan, UT
  • NPI 1144736372
  NPD
• Ihc Health Services Inc

  • Family Medicine Physician
  • Provo, UT
  • NPI 1992831218
  NPD
• Ihc Health Services, Inc.

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Orem, UT
  • NPI 1588601124
  NPD (past)
• Kane County Human Resource Special Service District

  • Skilled Nursing Facility
  • Springville, UT
  • NPI 1063401750
  NPD (past)

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

• At Home Health Care Service Inc

  • Home Health Agency
  • Salina, UT
  • NPI 1700908274
  Care Compare affiliation
• Garfield County

  • Critical Access Hospital
  • Panguitch, UT
  • NPI 1508836867
  Care Compare affiliation
• Ihc Health Services Inc

  • Home Health Agency
  • Mt Pleasant, UT
  • NPI 1649345075
  Care Compare affiliation
• Ihc Health Services, Inc.

  • General Acute Care Hospital
  • Provo, UT
  • NPI 1114025491
  Care Compare affiliation
• Ihc Health Services, Inc.

  • General Acute Care Hospital
  • Richfield, UT
  • NPI 1336256775
  Care Compare affiliation
• Ihc Health Services, Inc.

  • Infusion Therapy Clinic/Center
  • Spanish Fork, UT
  • NPI 1679426944

  Hospital

  Care Compare affiliation
• Ihc Health Services, Inc.

  • Infusion Therapy Clinic/Center
  • American Fork, UT
  • NPI 1982557252

  Hospital

  Care Compare affiliation
• Kane County Human Resource Special Service District

  • Skilled Nursing Facility
  • Richfield, UT
  • NPI 1144554734

  Nursing home

  Care Compare affiliation
• Red Rock Healthcare, Inc.

  • Home Health Agency
  • St George, UT
  • NPI 1588930705
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1629206149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "801-387-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N MAIN ST",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847011836",
            "telephone_number": "495-896-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "JESSE",
        "middle_name": "NEIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "4795700-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629206149",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael L. Smith, M.D.
• Reegan Smith
• Stasha Snow
• Kenady Sorenson
• Russell Douglas Sorenson, PHD
• Stepping Stones Family Counseling
• Tara Sterling
• Edgar Alan Stewart, D.D.S.
• Super Drug & Herbal Store, Inc
• Thomas J. Tavenner, CRNA

• Family Medicine Physician in Richfield, UT
• Providers in Richfield, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.