Yvonne Spencer, AGACNP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

5018718 Issued in NC

Practice address

409 Wake Chapel Rd
Fuquay Varina, NC 27526-1956

Phone

(919) 567-9001

NPI assigned

Aug 28, 2023

Last updated

Oct 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Health Center, PLLC

  • Internal Medicine Physician
  • Fuquay Varina, NC
  • NPI 1982933131
  Medicare reassignment NPD
• Ahmed Ibn-Mahfoudh

  dba Premier Health Center

  • Internal Medicine Physician
  • Fuquay Varina, NC
  • NPI 1932323060
  NPD (past)

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1720863830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 WAKE CHAPEL RD",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261956",
            "telephone_number": "919-567-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 WAKE CHAPEL RD",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261956",
            "telephone_number": "919-567-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "YVONNE",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "5018718",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5018718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drew Parker Spears, FNP
• Sharon Y Speed, M.D.
• Teresa Joanne Speller
• Joquina Spence
• Shantina Spencer
• Brianna Spensieri
• Diana Patricia Spensieri, MD
• Erin Sperico, M.A., LPCA
• Hannah Spies
• Sprout & Thrive, LLC

• Gerontology Nurse Practitioner in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Gerontology Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.