KRISTAL LARE SPENCER FNP
NPI 1023444551
Nurse Practitioner - Family in Winnsboro, TX

Active since September 16, 2013PECOS EnrolledAccepts Medicare Assignment
719 W COKE RD STE 6, WINNSBORO, TX 75494(903) 342-3760 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 8, 2025, Jul 3, 2017, Mar 14, 2016 and 4 more (7 updates tracked since 2015).

About Kristal Lare Spencer Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTAL LARE SPENCER FNP (NPI 1023444551) is an individual family provider in Winnsboro, Texas, licensed in Texas (702355) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and maintains a secondary practice location in Winnsboro.

NPPES Registry Identity

NPI1023444551
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTAL LARE SPENCERCredential: FNP
Location Address719 W COKE RD STE 6Winnsboro, TX 75494-3060
Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 324-6400
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 16, 2013
Last NPPES UpdateDecember 8, 20257 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
✔ NPI 1023444551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 702355
719 W COKE RD STE 6, Winnsboro, TX 75494

Secondary Practice Location 1

Location 1719 W Coke Rd Ste 3Winnsboro, TX 75494-3060 · Phone (903) 342-3760

Other Identifiers 11

Other8FD920TX · Bcbs
OtherP01569955TX · Rail Road Medicare
Medicaid352751701TX
Other75-2616977-029TX · Tricare
Other75-2771569-005TX · Tricare
Other8349NQTX · Bcbs
Other75-2616977-066TX · Tricare
OtherP01511483TX · Rail Road Medicare
Other75-2616977-121TX · Tricare
Other75-2616977-023TX · Tricare
Medicaid352751702TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristal Lare Spencer Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092942300
PECOS Enrollment IDI20131212000427
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Kristal Spencer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
General Acute Care Hospital
800 E DAWSON ST
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 547 clinicians in this Medicare group
Critical Access
2026 S JACKSON ST
Jacksonville, TX 75766
  • Reassigned Medicare billing, Texas enrollment
  • 409 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
43 services34 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
22 services21 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Christus Mother Frances Hospital Sulphur Springs

Acute Care Hospitals · Sulphur Springs, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450236
Location115 Airport RdSulphur Springs, TX 75482 · Hopkins County
Emergency services Birthing friendly

Christus Mother Frances Hospital- Winnsboro

Critical Access Hospitals · Winnsboro, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451381
Location719 West Coke RoadWinnsboro, TX 75494 · Wood County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75494 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$36.73 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$8.51 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers18 claims18 services$24.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristal Spencer's NPI number?

The NPI number for Kristal Spencer is 1023444551. It was assigned to this individual provider in the NPPES registry on September 16, 2013.

Where is Kristal Spencer located?

Kristal Spencer practices at 719 W Coke Rd Ste 6, Winnsboro, TX 75494. The listed phone number is (903) 342-3760.

What is Kristal Spencer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kristal Spencer enrolled in Medicare?

Yes. Kristal Spencer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kristal Spencer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristal Spencer reassigns Medicare benefits to 3 organizations: Christus Trinity Clinic Texas (Tyler, TX), Mother Frances Hospital Regional Health Care Center (Tyler, TX) and Mother Frances Hospital Jacksonville (Jacksonville, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristal Spencer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristal Spencer accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Kristal Spencer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kristal Spencer affiliated with any hospitals?

According to CMS data, Kristal Spencer is affiliated with Christus Mother Frances Hospital, Christus Mother Frances Hospital Sulphur Springs and Christus Mother Frances Hospital- Winnsboro.

When was this NPI record last updated?

The NPPES record for Kristal Spencer was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.