Shewana Spencer, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP143997 Issued in TX

Practice address

6480 Delaware St
Beaumont, TX 77706-4648

Phone

(409) 813-1677

Fax

(409) 232-0596

NPI assigned

May 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CHCBCA

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.

• Diagnostic Group Integrated Healthcare System PLLC

  • Internal Medicine Physician
  • Beaumont, TX
  • NPI 1194061655

  Family, TX

  Medicare reassignment Care Compare group NPD
• Woodrome Medical PA

  • Family Medicine Physician
  • Splendora, TX
  • NPI 1265460919

  TX

  Medicare reassignment NPD

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

• Baptist Hospitals of Southeast Texas

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1093744187

  Hospital

  Care Compare affiliation
• Christus Health Southeast Texas

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888

  Hospital

  Care Compare affiliation
• JCH Inc

  • Home Health Agency
  • Beaumont, TX
  • NPI 1134128648
  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Diagnostic Group Integrated Healthcare System, PLLC 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Harbor Home Health Home health agency, Beaumont, TX, CCN 679163
• Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
• Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1962025171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 COLLEGE ST STE 200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014612",
            "telephone_number": "409-813-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 DELAWARE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777064648",
            "telephone_number": "409-813-1677",
            "fax_number": "409-232-0596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2353 N Main St",
            "address_purpose": "LOCATION",
            "city": "Vidor",
            "state": "TX",
            "postal_code": "776622610",
            "country_code": "US",
            "telephone_number": "409-813-1677",
            "fax_number": "409-422-4997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "SHEWANA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "802588",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP143997",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Sparkman, PMHNP
• Specialized Pharmacy Services, Inc.
• Cheryl Spell, FNP
• Michael K Spell, APRN-BC
• Gynises Nicole Spencer, LPC
• Howard E. Sperling, M.D.
• William Sperling, PA-C
• Spindletop Center
• Spindletop MHMR Services
• Spindletop MHMR Services

• All providers in Beaumont, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.

Verify at the official NPI Registry.