Individual provider Active NPI

Joan M Spencer, PCNS

  • Psychiatric/Mental Health Nurse Practitioner
  • Wakefield, RI
National Provider Identifier
1760450753
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN00363 Issued in RI
Practice address
70 Kenyon Ave
326
Wakefield, RI 02879-4239
Phone
(401) 788-1277
Fax
(401) 788-1514
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN00363 RI Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X PNS00027 RI

Addresses

Primary practice location

70 Kenyon Ave
326
Wakefield, RI 02879-4239

Mailing address

70 Kenyon Ave Ste 326
Wakefield, RI 02879-4239
Phone (401) 788-1277

Other practice location 1

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

Other identifiers 2

IdentifierTypeStateIssuer
30908-4OtherRIBLUE CROSS OF RI
413047OtherRIBLUE CHIP OF RI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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

Enrollment IDStateProvider typePAC IDDetails
I20050218000036 RI Practitioner - Certified Clinical Nurse Specialist (CNS) 5496726994 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003014CTMDClinical Social Worker
APRN00363RIMDPsychiatric/Mental Health Nurse Practitioner
PNS00027RIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Healthcare Inc CurrentSince Oct 28, 2017 Accepting new patients
Community Care Alliance CurrentSince Apr 20, 2010 Accepting new patients
Jewish Collaborative Services CurrentSince Jul 22, 2019 Accepting new patients
Silver Spring Health Care Management, Inc. PastSince Sep 21, 2025 Accepting new patients
The Providence Center Past Accepting new patients
Associated Specialists of Southeastern Connecticut, Inc. Psychiatric/Mental Health Past Accepting new patients
The Providence Center Inc Past Accepting new patients
Plaza Psychology & Psychiatry, Inc. Psychiatric/Mental Health PastSince Jun 27, 2024 Accepting new patients

Locations

1516 Atwood Ave
Johnston, RI 02919
Phone (401) 463-8829

1 Virginia Ave
Ste 200
Providence, RI 02905

1165 N Main St
Providence, RI 02904
Phone (401) 331-1244

75 Newman Ave
Ste 100
Rumford, RI 02916

100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000

55 John a Cummings Way
Woonsocket, RI 02895
Phone (401) 766-3330

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1760450753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 KENYON AVE STE 326",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794239",
            "telephone_number": "401-788-1277",
            "fax_number": "401-788-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 KENYON AVE",
            "address_2": "326",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794239",
            "telephone_number": "401-788-1277",
            "fax_number": "401-788-1514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 Toll Gate Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028862759",
            "country_code": "US",
            "telephone_number": "401-737-7010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "JOAN",
        "middle_name": "M",
        "credential": "PCNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN00363",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "PNS00027",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF RI",
            "identifier": "30908-4",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP OF RI",
            "identifier": "413047",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.