NICOLE MARIE SPENCER APRN
NPI 1467054874
Nurse Practitioner - Acute Care in Kettering, OH

Q: What is Nicole Spencer's NPI number?

The NPI number for Nicole Spencer is 1467054874. It was assigned to this individual provider in the NPPES registry on November 10, 2020.

Q: What is Nicole Spencer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Spencer was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 November 10, 2020PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

3535 SOUTHERN BLVD, KETTERING, OH 45429(937) 298-4331 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 8, 2021, Nov 10, 2020 (2 updates tracked since 2020).

On this page

About Nicole Marie Spencer Aprn NPPES

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

NICOLE MARIE SPENCER APRN (NPI 1467054874) is an individual acute care provider in Kettering, Ohio, licensed in Ohio (APRN.CNP.0026789) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1467054874

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameNICOLE MARIE SPENCERCredential: APRN

Location Address3535 SOUTHERN BLVDKettering, OH 45429-1221

Mailing Address1 Prestige Pl Ste 550Miamisburg, OH 45342-6115 · (937) 762-1305 · Fax (937) 522-7513

Phone(937) 298-4331

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 10, 2020

Last NPPES UpdateMarch 8, 20212 updates tracked since enumeration

NPPES CertifiedMarch 8, 2021

✔ NPI 1467054874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in OH · APRN.CNP.0026789

3535 SOUTHERN BLVD, Kettering, OH 45429

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.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

Nicole Marie Spencer Aprn 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 ID6901217751

PECOS Enrollment IDI20201130000919

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 2

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 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.

53 services32 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360051

LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County

Emergency services Birthing friendly

Atrium Medical Center

Acute Care Hospitals · Franklin, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360076

LocationOne Medical Center DriveFranklin, OH 45005 · Warren County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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

Quality

100

Improvement Activities

Cost

91.25

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.

RAGHEED KATKHUDA MD

Pediatrics (Neonatal-Perinatal Medicine)

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 752-2304

ANNEMARIE ROSE UNDERWOOD PA-C

Physician Assistant

3535 SOUTHERN BLVD
DAYTON, OH 45429

Montgomery County (937) 395-8166

SYLVIA POLENAKOVIK M.D.

Internal Medicine

3535 SOUTHERN BLVD
DAYTON, OH 45429

Montgomery County (937) 395-6665

SUSAN KAY ZANN RNFS

Registered Nurse (Registered Nurse First Assistant)

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 395-8608

SWATHI DATLA M.B.B.S.

Hospitalist

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 395-6665

DR. LOREN ANN NALLU MD

Pediatrics (Neonatal-Perinatal Medicine)

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 752-2304

DR. JEREMY LAWTON CHAPMAN D.O.

Hospitalist

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 395-6665

DR. RAHUL RAO DO

Radiology (Diagnostic Radiology)

3535 SOUTHERN BLVD
DAYTON, OH 45429

Montgomery County (937) 395-8627

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 Nicole Spencer's NPI number?

The NPI number for Nicole Spencer is 1467054874. It was assigned to this individual provider in the NPPES registry on November 10, 2020.

Where is Nicole Spencer located?

Nicole Spencer practices at 3535 Southern Blvd, Kettering, OH 45429. The listed phone number is (937) 298-4331.

What is Nicole Spencer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Nicole Spencer enrolled in Medicare?

Yes. Nicole 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 Nicole Spencer accept?

Health plans from CareSource and Molina Healthcare list Nicole 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 Nicole Spencer affiliated with any hospitals?

According to CMS data, Nicole Spencer is affiliated with Miami Valley Hospital and Atrium Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Spencer was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.