KRISTEN SPENCER
NPI 1255721700
Physician Assistant in Louisville, KY

Active since February 04, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3999 DUTCHMANS LN STE 7B, LOUISVILLE, KY 40207(502) 896-4711 Get Directions Write a Review

NPPES record last updated: April 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2022, Jan 22, 2021, Jul 31, 2019 (3 updates tracked since 2019).

About Kristen Spencer NPPES

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

KRISTEN SPENCER (NPI 1255721700) is an individual physician assistant in Louisville, Kentucky, licensed in Kentucky (PA2363) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital Muskogee, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255721700
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTEN SPENCER
Location Address3999 DUTCHMANS LN STE 7BLouisville, KY 40207
Mailing AddressPo Box 776351Chicago, IL 60677-6351
Sole ProprietorNo
Medical School CMSOther
Enumeration DateFebruary 4, 2015
Last NPPES UpdateApril 22, 20223 updates tracked since enumeration
NPPES CertifiedApril 22, 2022
NPI 1255721700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in KY · PA2363 Licensed in MD · C0005643
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3999 DUTCHMANS LN STE 7B, Louisville, KY 40207

Secondary Practice Locations 2

Location 15200 Eastern Ave, Johns Hopkins Bayview Medical Center -CIMSBaltimore, MD 21224-2734 · Phone (410) 550-5018
Location 23999 Dutchmans Ln Ste 7BLouisville, KY 40207 · Phone (502) 896-4711

Other Identifiers 2

Medicaid7100543980KY
Medicaid300017942IN

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

Kristen Spencer 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 ID8325367832
PECOS Enrollment IDI20240607003528
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 4

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.

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.
121 services110 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services11 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
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.

Saint Francis Hospital Muskogee

Acute Care Hospitals · Muskogee, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370025
Location300 Rockefeller DriveMuskogee, OK 74401 · Muskogee County
Emergency services Birthing friendly

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

Saint Francis Hospital South, LLC

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370218
Location10501 East 91st Street SouthTulsa, OK 74133 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

Internal Medicine (Gastroenterology)
3999 DUTCHMANS LN STE 7B
LOUISVILLE, KY 40207
Internal Medicine (Gastroenterology)
3999 DUTCHMANS LN STE 7B
LOUISVILLE, KY 40207
Nurse Practitioner
3999 DUTCHMANS LN STE 7B
LOUISVILLE, KY 40207
Nurse Practitioner (Family)
3999 DUTCHMANS LN STE 7B
LOUISVILLE, KY 40207
Nurse Practitioner (Gerontology)
3999 DUTCHMANS LN STE 7B
LOUISVILLE, KY 40207
Physician Assistant
3999 DUTCHMANS LN STE 7B
LOUISVILLE, KY 40207
Internal Medicine (Gastroenterology)
3999 DUTCHMANS LN STE 7B
LOUISVILLE, KY 40207
Surgery
3999 DUTCHMANS LN STE 7B
LOUISVILLE, KY 40207

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 Kristen Spencer's NPI number?

The NPI number for Kristen Spencer is 1255721700. It was assigned to this individual provider in the NPPES registry on February 4, 2015.

Where is Kristen Spencer located?

Kristen Spencer practices at 3999 Dutchmans Ln Ste 7B, Louisville, KY 40207. The listed phone number is (502) 896-4711.

What is Kristen Spencer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kristen Spencer enrolled in Medicare?

Yes. Kristen 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 Kristen Spencer accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, HealthPartners and UnitedHealthcare list Kristen 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 Kristen Spencer affiliated with any hospitals?

According to CMS data, Kristen Spencer is affiliated with Saint Francis Hospital Muskogee, Saint Francis Hospital, Inc and Saint Francis Hospital South, LLC.

When was this NPI record last updated?

The NPPES record for Kristen Spencer was last updated on April 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.