Individual provider Active NPI

Sharon L. Spencer, APRN

  • Nurse Practitioner
  • O'Neill, NE
National Provider Identifier
1801858402
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
110093 Issued in NE
Practice address
300 N 2ND St
Suite 100
Oneill, NE 68763-1519
Phone
(402) 336-2900
NPI assigned
Apr 6, 2006
Last updated
Apr 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 110093 NE Primary

Addresses

Primary practice location

300 N 2ND St
Suite 100
Oneill, NE 68763-1519

Mailing address

300 N 2ND St
Suite 100
Oneill, NE 68763-1519
Phone (402) 336-2900

Other identifiers 2

IdentifierTypeStateIssuer
110093OtherNENEBRASKA STATE LICENSE NUMBER
10025621600MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20050411000933 NE Practitioner - Nurse Practitioner 8022055151 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110093NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Father Flanagan's Boys' Home CurrentSince Jun 1, 2023 Accepting new patients
ENT Services PC Nurse Practitioner Past Accepting new patients
Father Flanagan's Boys Home Past Accepting new patients
Avera St Anthonys Hospital Past Accepting new patients
Sacred Heart Rural Health Clinics Past Accepting new patients
Avera St Anthonys Hospital Nurse Practitioner Past Accepting new patients

Locations

14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1801858402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N 2ND ST",
            "address_2": "SUITE 100",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687631519",
            "telephone_number": "402-336-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N 2ND ST",
            "address_2": "SUITE 100",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687631519",
            "telephone_number": "402-336-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "SHARON",
        "middle_name": "L.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "110093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEBRASKA STATE LICENSE NUMBER",
            "identifier": "110093",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025621600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Neill, NE

Sources for this page

Verify at the official NPI Registry.