CONNIE SPENCER
NPI 1417496902
Nurse Practitioner - Family in Saint Joseph, MO

Q: What is Connie Spencer's NPI number?

The NPI number for Connie Spencer is 1417496902. It was assigned to this individual provider in the NPPES registry on February 16, 2017.

Q: What is Connie Spencer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Connie Spencer was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since February 16, 2017PECOS EnrolledAccepts Medicare Assignment

901 HEARTLAND RD STE 3800, SAINT JOSEPH, MO 64506(816) 671-4800(816) 233-4021 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 23, 2024, Feb 16, 2017 (2 updates tracked since 2017).

On this page

About Connie Spencer NPPES

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

CONNIE SPENCER (NPI 1417496902) is an individual family provider in Saint Joseph, Missouri, licensed in Missouri (2017003707) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, is affiliated with Mosaic Life Care At St Joseph, and maintains a secondary practice location in Maryville.

NPPES Registry Identity

NPI1417496902

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCONNIE SPENCER

Location Address901 HEARTLAND RD STE 3800Saint Joseph, MO 64506-6201

Mailing Address5301 Faraon St Ste 120Saint Joseph, MO 64506-3512 · (816) 671-4800 · Fax (816) 233-4021

Phone(816) 671-4800

Fax(816) 233-4021

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateFebruary 16, 2017

Last NPPES UpdateAugust 23, 20242 updates tracked since enumeration

NPPES CertifiedAugust 23, 2024

✔ NPI 1417496902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2017003707

901 HEARTLAND RD STE 3800, Saint Joseph, MO 64506

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Secondary Practice Location 1

Location 1106 W Edwards StMaryville, MO 64468-2419 · Phone (660) 562-2273 · Fax (660) 562-3350

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Connie 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 ID5991089070

PECOS Enrollment IDI20170309001766

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

Medicare enrollment records show Connie Spencer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Heartland Regional Medical Center

0.2 mi

General Practice

5325 FARAON ST
Saint Joseph, MO 64506

Reassigned Medicare billing, Missouri enrollment
471 clinicians in this Medicare group

NPI 1477575405 (816) 271-6000

Shenandoah Medical Center

75 mi

Rural Health

1 JACK FOSTER DR
Shenandoah, IA 51601

Reassigned Medicare billing, Iowa enrollment
91 clinicians in this Medicare group

NPI 1427300201 (712) 246-7240

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 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.

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.

176 services128 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.

42 services41 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

21 services11 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.

18 services18 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Mosaic Life Care At St Joseph

Acute Care Hospitals · Saint Joseph, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260006

Location5325 Faraon StreetSaint Joseph, MO 64506 · Buchanan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64506 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier38 claims38 services$119.39 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier34 claims34 services$38.21 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 11

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

MR. IRAKLI TODUA MD

Internal Medicine