Individual provider Active NPI

Lucinda M Spencer, APRN, FNP-C

  • Family Nurse Practitioner
  • Vandalia, IL
National Provider Identifier
1912499971
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209017326 Issued in IL
Practice address
1510 Sunset Dr
Vandalia, IL 62471-3228
Phone
(618) 283-3144
Fax
(618) 283-3194
NPI assigned
Jun 5, 2018
Last updated
Jun 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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 209017326 IL Primary

Addresses

Primary practice location

1510 Sunset Dr
Vandalia, IL 62471-3228

Mailing address

1510 Sunset Dr
Vandalia, IL 62471-3228
Phone (618) 283-3144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20181012000078 IL Practitioner - Nurse Practitioner 1759633100 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Inpatient Anderson Health IncGroup PAC ID 3072908474, 46 clinicians
Meds Inpatient Services Associates, IncGroup PAC ID 1557865250, 14 clinicians
County of ClayGroup PAC ID 0042101982, 77 clinicians

Practice addresses (Care Compare)

400 N Caldwell St
Staunton, IL 62088-1173
Phone (618) 635-2200

400 N Pleasant Ave
Centralia, IL 62801-3056
Phone (618) 436-8000

911 Stacey Burk Dr
Flora, IL 62839-3241
Phone (618) 662-2131

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meds Inpatient Services Associates, Inc CurrentSince Sep 1, 2025 Accepting new patients
County of Clay CurrentSince Nov 18, 2020 Accepting new patients
County of Clay CurrentSince Nov 18, 2020 Accepting new patients
Midwest Emergency Anderson Health, Inc CurrentSince Sep 1, 2022 Accepting new patients
County of Clay Current Accepting new patients
Midwest Inpatient Anderson Health, Inc CurrentSince Sep 1, 2022 Accepting new patients

Locations

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

911 Stacey Burk Dr
Flora, IL 62839
Phone (618) 662-2161

6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095

400 N Caldwell St
Staunton, IL 62088
Phone (618) 635-2200

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.

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": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1912499971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 SUNSET DR",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624713228",
            "telephone_number": "618-283-3144",
            "fax_number": "618-283-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 SUNSET DR",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624713228",
            "telephone_number": "618-283-3144",
            "fax_number": "618-283-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "LUCINDA",
        "middle_name": "M",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209017326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, IL

Sources for this page

Verify at the official NPI Registry.