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

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: October 25, 2026.

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

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
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

Accepted 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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nicole Spencer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
3170 KETTERING BLVD, BUILDING B 3RD FLOOR
Moraine, OH 45439
  • Reassigned Medicare billing, Ohio enrollment
  • 812 clinicians in this Medicare group
Orthopaedic Surgery
1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 984 clinicians in this Medicare group
Pulmonary Disease
4000 MIAMISBURG CENTERVILLE RD STE 405
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 14 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 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
Quality100
Improvement Activities40
Cost91.25

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.

Pediatrics (Neonatal-Perinatal Medicine)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Physician Assistant
3535 SOUTHERN BLVD
DAYTON, OH 45429
Internal Medicine
3535 SOUTHERN BLVD
DAYTON, OH 45429
Registered Nurse (Registered Nurse First Assistant)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Hospitalist
3535 SOUTHERN BLVD
KETTERING, OH 45429
Pediatrics (Neonatal-Perinatal Medicine)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Hospitalist
3535 SOUTHERN BLVD
KETTERING, OH 45429
Radiology (Diagnostic Radiology)
3535 SOUTHERN BLVD
DAYTON, OH 45429

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.

Which organizations bill Medicare for Nicole Spencer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Spencer reassigns Medicare benefits to 3 organizations: Premier Health Specialists Inc (Moraine, OH), Kettering Independent Medical Group Inc (Miamisburg, OH) and Pulmonary Medicine Of Dayton Inc. (Miamisburg, OH). 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 Nicole Spencer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Spencer accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual 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.