ADVANCED PRACTICE ADULT-GERONTOLOGY
NPI 1194195834
Nurse Practitioner - Gerontology in Dublin, VA
About Advanced Practice Adult-gerontology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED PRACTICE ADULT-GERONTOLOGY (NPI 1194195834) is a healthcare organization registered as a gerontology in Dublin, Virginia and active in the NPI registry since October 2015. The organization lists Daniel K Spencer, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Advanced Practice Adult-gerontology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Practice Adult-Gerontology, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Advanced Practice Adult-Gerontology's NPI number?
The NPI number for Advanced Practice Adult-Gerontology is 1194195834. It was assigned to this organization in the NPPES registry on October 6, 2015.
Where is Advanced Practice Adult-Gerontology located?
Advanced Practice Adult-Gerontology is located at 5140 Hatcher Rd Fairview Home, Dublin, VA 24084. The listed phone number is (276) 431-4200.
What is Advanced Practice Adult-Gerontology's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Advanced Practice Adult-Gerontology enrolled in Medicare?
Yes. Advanced Practice Adult-Gerontology is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advanced Practice Adult-Gerontology?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Advanced Practice Adult-Gerontology. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Advanced Practice Adult-Gerontology was last updated on October 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.
# Advanced Practice Adult-Gerontology · NPI 1194195834
Gerontology organization in Dublin, Virginia. Organization record, active in the CMS NPPES registry since October 6, 2015.
## Identity
- **NPI:** 1194195834 (Entity type: Organization)
- **Enumerated:** October 6, 2015
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **Organization subpart:** No
- **Authorized official:** Daniel Spencer, OWNER
## Practice location
- **Address:** 5140 HATCHER RD, FAIRVIEW HOME, Dublin, VA 24084-4802
- **Phone:** (276) 431-4200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 6, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1194195834) · Data from the CMS NPPES public registry.