Individual provider Active NPI

Stephanie Claire Spencer, FNP-C

  • Family Nurse Practitioner
  • Bozeman, MT
National Provider Identifier
1992474795
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NUR-APRN-LIC-178226 Issued in MT
Practice address
319 Mineral Ave
Bozeman, MT 59718-6247
Phone
(832) 785-7513
NPI assigned
Sep 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X NUR-RN-LIC-178225 MT
Family Nurse Practitioner 363LF0000X 178226 MT
Family Nurse Practitioner 363LF0000X NUR-APRN-LIC-178226 MT Primary

Addresses

Primary practice location

319 Mineral Ave
Bozeman, MT 59718-6247

Mailing address

319 Mineral Ave
Bozeman, MT 59718-6247
Phone (832) 785-7513

Other practice location 1

320 Alpenglow Ln
Livingston, MT 59047-8506
Phone (406) 222-3541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20211207000823 MT Practitioner - Nurse Practitioner 0446640452 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas a & M University System, HSC, College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Livingston HealthcareGroup PAC ID 5991613598, 66 clinicians

Practice addresses (Care Compare)

104 Centennial Dr
Suite 103
Livingston, MT 59047-8101
Phone (406) 222-0030

Hospital & facility affiliations

  • Livingston Healthcare Hospital, Livingston, MT, CCN 271317

Merit-based Incentive Payment System (MIPS)

Final score
74.05 of 100Reported as group
Quality
59.76
Promoting interoperability
99
Improvement activities
40
Cost
54.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NUR-RN-LIC-178225MTMDEmergency Registered Nurse
178226MTMDFamily Nurse Practitioner
NUR-APRN-LIC-178226MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston Healthcare CurrentSince Aug 7, 2021 Accepting new patients
Livingston Healthcare CurrentSince Aug 7, 2021 Accepting new patients
Livingston Healthcare Current Accepting new patients

Locations

320 Alpenglow Ln
Livingston, MT 59047
Phone (406) 222-3541

104 Centennial Dr
Ste 103
Livingston, MT 59047
Phone (406) 222-0030

104 Centennial Dr
Livingston, MT 59047
Phone (406) 222-0030

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 and National Provider Directory roles.

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": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1992474795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 MINERAL AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186247",
            "telephone_number": "832-785-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 MINERAL AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186247",
            "telephone_number": "832-785-7513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Alpenglow Ln",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "MT",
            "postal_code": "590478506",
            "country_code": "US",
            "telephone_number": "406-222-3541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "STEPHANIE",
        "middle_name": "CLAIRE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MT",
            "license": "NUR-RN-LIC-178225",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "178226",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-178226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.