Active NPI
Jamie Spence, APRN - CNS
- Adult Health Clinical Nurse Specialist
- Ardmore, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- 72205
- Practice address
- 731 12TH Ave NW Ste 302
Ardmore, OK 73401-5765 - Phone
- (580) 220-6200
- Fax
- (580) 220-6258
- NPI assigned
- Jul 21, 2016
- Last updated
- Jul 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | 72205 | OK | Primary |
Addresses
Primary practice location
731 12TH Ave NW Ste 302
Ardmore, OK 73401-5765
Mailing address
2002 12TH Ave NW Ste B
Ardmore, OK 73401-1206
Phone (580) 223-5180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2002 12TH Ave NW
Suite B
Ardmore, OK 73401-1206
Phone (580) 221-2022
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72205 | OK | MD | Adult Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Medical PLLC | Current | Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Current | Accepting new patients | |
| Genesis Medical PLLC | Current | Accepting new patients |
Locations
2002 12th Ave NW
Ste B
Ardmore, OK 73401
Phone (580) 223-4795
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
Organizations & group practices 3
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.
-
- Pain Medicine (Anesthesiology) Physician
- Ardmore, OK
- NPI 1578174074
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- Pain Medicine (Anesthesiology) Physician
- Ardmore, OK
- NPI 1285434233
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Sulphur, OK
- NPI 1700869492
-
dba Chickasaw Nation Medical Center
- General Acute Care Hospital
- Ada, OK
- NPI 1255364923
-
dba Chickasaw Nation Tishomingo Clinic
- Primary Care Clinic/Center
- Tishomingo, OK
- NPI 1649330242
Hospital
-
dba Chickasaw Nation Ardmore Clinic
- Primary Care Clinic/Center
- Ardmore, OK
- NPI 1730249186
Hospital
-
dba Chickasaw Nation Purcell Clinic
- Primary Care Clinic/Center
- Purcell, OK
- NPI 1982764395
Hospital
-
- Primary Care Clinic/Center
- Ada, OK
- NPI 1962563148
Hospital
-
dba Holdenville General Hospital
- Critical Access Hospital
- Holdenville, OK
- NPI 1265851455
-
- General Acute Care Hospital
- Ardmore, OK
- NPI 1386741635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595980800000",
"number": "1861845190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 12TH AVE NW STE B",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734011206",
"telephone_number": "580-223-5180",
"fax_number": "580-223-5184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 12TH AVE NW STE 302",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734015765",
"telephone_number": "580-220-6200",
"fax_number": "580-220-6258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCE",
"first_name": "JAMIE",
"credential": "APRN - CNS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-21",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "OK",
"license": "72205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.
- 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.