SPENCER HART
NPI 1609512193
Family Medicine in Walnut Ridge, AR

Q: What is Spencer Hart's NPI number?

The NPI number for Spencer Hart is 1609512193. It was assigned to this individual provider in the NPPES registry on May 9, 2022.

Q: What is Spencer Hart's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Spencer Hart was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 May 09, 2022PECOS EnrolledAccepts Medicare Assignment

201 COLONIAL DR, WALNUT RIDGE, AR 72476(870) 886-5507(870) 886-5632 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2025, Jun 21, 2025, May 9, 2022 (3 updates tracked since 2022).

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About Spencer Hart NPPES

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

SPENCER HART (NPI 1609512193) is an individual family medicine provider in Walnut Ridge, Arkansas, licensed in Arkansas (E-17357) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Jonesboro, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1609512193

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSPENCER HART

Location Address201 COLONIAL DRWalnut Ridge, AR 72476-1410

Mailing AddressPo Box 83Corning, AR 72422-0083 · (870) 857-3334 · Fax (870) 857-9934

Phone(870) 886-5507

Fax(870) 886-5632

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 9, 2022

Last NPPES UpdateAugust 14, 20253 updates tracked since enumeration

NPPES CertifiedAugust 14, 2025

✔ NPI 1609512193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AR · E-17357

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

201 COLONIAL DR, Walnut Ridge, AR 72476

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Secondary Practice Location 1

Location 1800 S Main StJonesboro, AR 72401-3548 · Phone (870) 972-0063

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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

Spencer Hart 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 ID4385029115

PECOS Enrollment IDI20240307000316

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72476 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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 10

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

WILLIAM ALEXANDER BURNS APRN

Nurse Practitioner (Family)