Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MISTY SPENCER
NPI 1295240695
Nurse Practitioner in Everett, PA

Active since December 06, 2017PECOS Enrolled
10455 LINCOLN HWY, ENTRANCE #12, EVERETT, PA 15537(814) 623-3570 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Feb 14, 2025, May 21, 2021 and 2 more (5 updates tracked since 2017).

About Misty Spencer NPPES

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

MISTY SPENCER (NPI 1295240695) is an individual nurse practitioner in Everett, Pennsylvania, licensed in Maryland (R241759) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295240695
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMISTY SPENCER
Location Address10455 LINCOLN HWY, ENTRANCE #12Everett, PA 15537-7046
Mailing Address2369 Schellsburg Rd, Entrance #12Queen, PA 16670-8935
Sole ProprietorNo
Enumeration DateDecember 6, 2017
Last NPPES UpdateSeptember 29, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2025
✔ NPI 1295240695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MD · R241759
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.
10455 LINCOLN HWY, Everett, PA 15537

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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

6

Medicare enrollment records show Misty Spencer reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
283 HOSPITAL DR
Everett, PA 15537
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,182 clinicians in this Medicare group
Psychiatry
12502 WILLOWBROOK RD, SUITE 380
Cumberland, MD 21502
  • Reassigned Medicare billing, Maryland enrollment
  • 210 clinicians in this Medicare group
Internal Medicine
12502 WILLOWBROOK RD
Cumberland, MD 21502
  • Reassigned Medicare billing, Maryland enrollment
  • 318 clinicians in this Medicare group
Family Medicine
1414 9TH AVE, STATION MEDICAL CENTER
Altoona, PA 16602
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 338 clinicians in this Medicare group
General Acute Care Hospital
620 HOWARD AVE.
Altoona, PA 16601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 291 clinicians in this Medicare group
Emergency Medicine
9901 MEDICAL CENTER DR
Rockville, MD 20850
  • Reassigned Medicare billing, Maryland enrollment
  • 301 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 6

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
288 services278 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
214 services208 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
164 services157 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
162 services157 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
43 services43 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.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15537 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
10455 LINCOLN HWY, SPECIALTY SERVICES,
EVERETT, PA 15537
Radiology (Diagnostic Radiology)
10455 LINCOLN HWY
EVERETT, PA 15537
Emergency Medicine
10455 LINCOLN HWY
EVERETT, PA 15537
Nurse Practitioner (Acute Care)
10455 LINCOLN HWY
EVERETT, PA 15537
Anesthesiology
10455 LINCOLN HWY
EVERETT, PA 15537
Speech-Language Pathologist
10455 LINCOLN HWY
EVERETT, PA 15537
Occupational Therapy Assistant
10455 LINCOLN HWY
EVERETT, PA 15537
Emergency Medicine
10455 LINCOLN HWY
EVERETT, PA 15537

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 Misty Spencer's NPI number?

The NPI number for Misty Spencer is 1295240695. It was assigned to this individual provider in the NPPES registry on December 6, 2017.

Where is Misty Spencer located?

Misty Spencer practices at 10455 Lincoln Hwy Entrance #12, Everett, PA 15537. The listed phone number is (814) 623-3570.

What is Misty Spencer's specialty?

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

Is Misty Spencer enrolled in Medicare?

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

Which organizations bill Medicare for Misty Spencer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Misty Spencer reassigns Medicare benefits to 6 organizations: Upmc Community Medicine Inc (Everett, PA), Upmc Western Maryland Corporation (Cumberland, MD), Upmc Western Maryland Health Services, LLC (Cumberland, MD), Upmc Altoona Regional Health Services, Inc (Altoona, PA), Upmc Altoona (Altoona, PA) and 1 more organization, listed in the Medicare section above. 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 Misty Spencer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Misty Spencer was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.