Active NPI
Spencer Hardin Fugate
- Certified Registered Nurse Anesthetist
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 896515
- Practice address
- 602 Indiana Ave
Lubbock, TX 79415-3364 - Phone
- (806) 775-8200
- NPI assigned
- Jan 2, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 896515 | TX | Primary |
Addresses
Primary practice location
602 Indiana Ave
Lubbock, TX 79415-3364
Mailing address
6914 96TH St
Lubbock, TX 79424-8802
Phone (806) 535-0275
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | s.fugate@student.keiseruniversity.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3615 19TH St
Lubbock, TX 79410-1203
Phone (806) 725-0000
6200 W Parker Rd
Plano, TX 75093-7939
Phone (972) 608-8000
Hospital & facility affiliations
- Covenant Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.52 of 100
- Quality
- 87.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 896515 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060
1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161
602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898
6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000
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.
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
Nurse Anesthetist, Certified Registered
-
- Anatomic Pathology Physician
- Lubbock, TX
- NPI 1063461358
-
- Durable Medical Equipment & Medical Supplies
- Lubbock, TX
- NPI 1053458026
-
- Certified Registered Nurse Anesthetist
- Lubbock, TX
- NPI 1184673469
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1972517365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672617600000",
"number": "1760195069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6914 96TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794248802",
"telephone_number": "806-535-0275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 INDIANA AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794153364",
"telephone_number": "806-775-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUGATE",
"first_name": "SPENCER",
"middle_name": "HARDIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-02",
"last_updated": "2023-01-02",
"certification_date": "2023-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "896515",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "s.fugate@student.keiseruniversity.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "602 Indiana Ave",
"city": "Lubbock",
"state": "TX",
"country_code": "US",
"postal_code": "794153364",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.