Individual provider Active NPI

Sara Renee Spivey, FNP

  • Family Nurse Practitioner
  • Bangs, TX
National Provider Identifier
1790060853
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP120981 Issued in TX
Practice address
207 West Hall
Bangs, TX 76823
Phone
(325) 752-6521
NPI assigned
Oct 19, 2011
Last updated
Aug 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP120981 TX Primary

Addresses

Primary practice location

207 West Hall
Bangs, TX 76823

Mailing address

207 W. Hall
Bangs, TX 76823
Phone (325) 752-6521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20111206000088 TX Practitioner - Nurse Practitioner 4587839451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas Tech University Health Science Center School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Acs Primary Care Physicians Southwest PAGroup PAC ID 1850204363, 188 clinicians

Practice addresses (Care Compare)

1501 Burnet Rd
Brownwood, TX 76801-8520
Phone (325) 646-8541

207 E Hall St
Bangs, TX 76823-3495

PO Box
Suite 639
Bangs, TX 76823

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians Southwest, PA Family CurrentSince Jul 1, 2022 Accepting new patients
Spivey NP PLLC Family CurrentSince Nov 15, 2019 Accepting new patients

Locations

6250 US Highway 83
Abilene, TX 79606
Phone (325) 428-3900

207 E Hall St
Bangs, TX 76823
Phone (325) 752-6521

1501 Burnet Rd
Brownwood, TX 76801
Phone (325) 646-8541

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1790060853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W. HALL",
            "city": "BANGS",
            "state": "TX",
            "postal_code": "76823",
            "telephone_number": "325-752-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 WEST HALL",
            "city": "BANGS",
            "state": "TX",
            "postal_code": "76823",
            "telephone_number": "325-752-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVEY",
        "first_name": "SARA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP120981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangs, TX

Sources for this page

Verify at the official NPI Registry.