Julie C Spencer, APRN MN PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5711 Issued in MN

Practice address

1082 Highway 3 S
Northfield, MN 55057-3088

Phone

(507) 667-9374

Fax

(877) 863-8936

NPI assigned

Mar 7, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sparrow Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Northfield, MN
  • NPI 1467058321

  Single Specialty

  Medicare reassignment NPD Authorized official
• Secure Base Counseling Center LLC

  • Psychologist
  • Northfield, MN
  • NPI 1285905885

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1689176455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28210 HOPEWOOD CT",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550575147",
            "telephone_number": "076-679-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1082 HIGHWAY 3 S",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550573088",
            "telephone_number": "507-667-9374",
            "fax_number": "877-863-8936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28210 Hopewood Ct",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "MN",
            "postal_code": "550575147",
            "country_code": "US",
            "telephone_number": "952-221-8068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "570 Professional Dr",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "MN",
            "postal_code": "55057",
            "country_code": "US",
            "telephone_number": "507-301-3412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "JULIE",
        "middle_name": "C",
        "credential": "APRN MN PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "5711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Nicole Solar, MT-BC
• Brooke Elizabeth Sonnee, M.S., CCC-SLP
• Southern Minnesota Midwifery Inc
• Sparrow Psychiatry LLC
• Speechgear, Inc.
• Shodo Janet Cedar Spring, M.S.W., LICSW
• Stacey Klempnauer MSW, Licsw Inc
• Joan Marie Stage, OTR/L
• Trent Ronald Steenblock, DPM
• Abigail Michaela Stein, PT, DPT

• Psychiatric/Mental Health Nurse Practitioner in Northfield, MN
• Providers in Northfield, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.