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MICHELLE SPENCER
NPI 1043195795
Nurse Practitioner - Psychiatric/Mental Health in Cambria Heights, NY

Active since August 11, 2025PECOS Enrolled
11643 228TH ST, CAMBRIA HEIGHTS, NY 11411(516) 973-8835 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michelle Spencer NPPES

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

MICHELLE SPENCER (NPI 1043195795) is an individual psychiatric/mental health provider in Cambria Heights, New York, licensed in New York (7156911) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1043195795
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMICHELLE SPENCER
Location Address11643 228TH STCambria Heights, NY 11411-1721
Mailing Address11643 228th StCambria Heights, NY 11411-1721 · (516) 973-8835
Phone(516) 973-8835
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 11, 2025
NPPES CertifiedAugust 11, 2025
✔ NPI 1043195795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 7156911
11643 228TH ST, Cambria Heights, NY 11411
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Spencer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42788903
PECOS Enrollment IDI20260902001943
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 Reassignment

Medicare enrollment records show Michelle Spencer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Garden Medical Consulting PLLC
3.6 mi
Psychiatry
19615 75TH AVE
Fresh Meadows, NY 11366
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1487444386 (718) 969-4454

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11411 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

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 Michelle Spencer's NPI number?

The NPI number for Michelle Spencer is 1043195795. It was assigned to this individual provider in the NPPES registry on August 11, 2025.

Where is Michelle Spencer located?

Michelle Spencer practices at 11643 228th St, Cambria Heights, NY 11411. The listed phone number is (516) 973-8835.

What is Michelle Spencer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Michelle Spencer enrolled in Medicare?

Yes. Michelle Spencer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michelle Spencer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Spencer reassigns Medicare benefits to Garden Medical Consulting PLLC (Fresh Meadows, NY). The 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 Michelle Spencer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Spencer accept?

Health plans from Oscar Health list Michelle 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.

When was this NPI record last updated?

The NPPES record for Michelle Spencer was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.