Kelly Spencer, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024186610 Issued in VA

Practice address

21035 Sycolin Road, Suite 180
Ashburn, VA 20147-4311

Phone

(703) 783-5673

Fax

(703) 297-3919

NPI assigned

Mar 16, 2023

Sex

Female

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 2

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Loudoun Medical Group, PCGroup PAC ID 0042119661, 272 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.65 of 100Reported as apm

Quality

85.31

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly.spencer@lmg1.eclinicaldirectplus.com

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.

• Loudoun Medical Group, PC

  • Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
  • Reston, VA
  • NPI 1407908817

  DC

  Medicare reassignment Care Compare group NPD
• Loudoun Medical Group, PC

  • Internal Medicine Physician
  • Leesburg, VA
  • NPI 1679591440

  VA

  Medicare reassignment Care Compare group NPD
• Loudoun Medical Group, PC

  • Vascular Surgery Physician
  • Reston, VA
  • NPI 1588376321
  Care Compare group NPD
• Loudoun Medical Group, PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Leesburg, VA
  • NPI 1043708423
  Care Compare group
• Loudoun Medical Group, PC

  • Orthopaedic Surgery of the Spine Physician
  • Leesburg, VA
  • NPI 1174110308
  Care Compare group
• Loudoun Medical Group, PC

  • Podiatrist
  • Leesburg, VA
  • NPI 1336816818
  Care Compare group
• Loudoun Medical Group, PC

  • Podiatrist
  • Winchester, VA
  • NPI 1528847712
  Care Compare group
• Loudoun Medical Group, PC

  • Foot & Ankle Surgery Podiatrist
  • Gainesville, VA
  • NPI 1801408109
  Care Compare group
• Loudoun Medical Group, PC

  • Orthopaedic Surgery of the Spine Physician
  • Dulles, VA
  • NPI 1811573009
  Care Compare group
• Loudoun Medical Group, PC

  • Orthopaedic Foot and Ankle Surgery Physician
  • Leesburg, VA
  • NPI 1992318067
  Care Compare group

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1639870652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224D CORNWALL STREET, NW, SUITE 403",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762704",
            "telephone_number": "703-737-6001",
            "fax_number": "703-443-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21035 SYCOLIN ROAD, SUITE 180",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474311",
            "telephone_number": "703-783-5673",
            "fax_number": "703-297-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "KELLY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024186610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017597090001",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639870652",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sound Chiropractic
• Lisa Spalding
• Rachel Sparks, NP-C
• Special Care Services LLC
• Aimee Spencer, F.N.P-C
• Lisa J Spielman, LPC
• Spine and Orthopedic Solutions LLC
• Lily K Spinelli, MSW, LCSW
• Spring Chiropractic
• Uma M Sridhar, RD,CDE

• All providers in Ashburn, VA
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.