LORI J SPENCER APNP
NPI 1235588773
Nurse Practitioner in Wisconsin Dells, WI

Active since June 06, 2016PECOS EnrolledAccepts Medicare Assignment
1310 BROADWAY, WISCONSIN DELLS, WI 53965(608) 253-1171(608) 253-8012 Get Directions Write a Review

NPPES record last updated: December 12, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lori J Spencer Apnp NPPES

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

LORI J SPENCER APNP (NPI 1235588773) is an individual nurse practitioner in Wisconsin Dells, Wisconsin, licensed in Wisconsin (6930-033) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Clare Hospital - Baraboo, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1235588773
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLORI J SPENCERCredential: APNP
Location Address1310 BROADWAYWisconsin Dells, WI 53965-1358
Mailing Address1310 BroadwayWisconsin Dells, WI 53965-1358 · (608) 253-1171 · Fax (608) 253-8012
Fax(608) 253-8012
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 6, 2016
Last NPPES UpdateDecember 12, 2020
NPPES CertifiedDecember 12, 2020
NPI 1235588773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WI · 6930-033
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 6930-33 (WI)
1310 BROADWAY, Wisconsin Dells, WI 53965

Other Identifiers 1

Medicaid1235588773WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lori J Spencer Apnp 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 ID6204979040
PECOS Enrollment IDI20160624001380
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
245 services62 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
63 services16 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
53 services45 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services11 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health St Clare Hospital - Baraboo

Acute Care Hospitals · Baraboo, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520057
Location707 14th StBaraboo, WI 53913 · Sauk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53965 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 2

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

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier16 claims6,364 services$0.48 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
4 suppliers25 claims25 services$14.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1310 BROADWAY
WISCONSIN DELLS, WI 53965
Family Medicine
1310 BROADWAY
WISCONSIN DELLS, WI 53965
Durable Medical Equipment & Medical Supplies
1310 BROADWAY
WISCONSIN DELLS, WI 53965
Family Medicine
1310 BROADWAY
WISCONSIN DELLS, WI 53965
Nurse Practitioner
1310 BROADWAY
WISCONSIN DELLS, WI 53965
Nurse Practitioner
1310 BROADWAY
WISCONSIN DELLS, WI 53965
Physician Assistant
1310 BROADWAY
WISCONSIN DELLS, WI 53965
Family Medicine
1310 BROADWAY
WISCONSIN DELLS, WI 53965

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 Lori Spencer's NPI number?

The NPI number for Lori Spencer is 1235588773. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Where is Lori Spencer located?

Lori Spencer practices at 1310 Broadway, Wisconsin Dells, WI 53965. The listed phone number is (608) 253-1171.

What is Lori Spencer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lori Spencer enrolled in Medicare?

Yes. Lori 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.

What insurance does Lori Spencer accept?

Health plans from Group Health Cooperative-SCW list Lori 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 Lori Spencer affiliated with any hospitals?

According to CMS data, Lori Spencer is affiliated with Ssm Health St Clare Hospital - Baraboo.

When was this NPI record last updated?

The NPPES record for Lori Spencer was last updated on December 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.