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NICOLE SPENCER
NPI 1639626153
Nurse Practitioner - Primary Care in Raleigh, NC

Active since September 01, 2016PECOS Enrolled
4551 NEW BERN AVE STE 100, RALEIGH, NC 27610(984) 215-4950(984) 215-4955 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 10, 2021, Sep 1, 2016 (2 updates tracked since 2016).

About Nicole Spencer NPPES

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

NICOLE SPENCER (NPI 1639626153) is an individual primary care provider in Raleigh, North Carolina, licensed in North Carolina (238951) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Burlington, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1639626153
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameNICOLE SPENCER
Location Address4551 NEW BERN AVE STE 100Raleigh, NC 27610-2797
Mailing Address2000 Perimeter Park Dr Ste 200Morrisville, NC 27560-8442
Phone(984) 215-4950
Fax(984) 215-4955
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 1, 2016
Last NPPES UpdateAugust 10, 20212 updates tracked since enumeration
NPPES CertifiedAugust 10, 2021
✔ NPI 1639626153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NC · 238951
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 238951 (NC)
4551 NEW BERN AVE STE 100, Raleigh, NC 27610
Open in Google Maps ↗

Secondary Practice Location 1

Location 15270 Union Ridge RoadBurlington, NC 27217 · Phone (336) 421-3247

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID42599748
PECOS Enrollment IDI20200409000457
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.

Drx High Point, PLLC
83 mi
Multi-Specialty
2305 N MAIN ST
High Point, NC 27262
  • Reassigned Medicare billing, North Carolina enrollment
  • 60 clinicians in this Medicare group
NPI 1669701306 (336) 884-4050
County Of Forsyth, North Carolina
96 mi
Public Health, State or Local
799 HIGHLAND AVE
Winston Salem, NC 27101
  • Reassigned Medicare billing, North Carolina enrollment
  • 5 clinicians in this Medicare group
NPI 1154475424 (336) 703-3117
Post Acute Clinical Services PLLC
130 mi
Family Medicine
620 TOM HUNTER RD
Charlotte, NC 28213
  • Reassigned Medicare billing, North Carolina enrollment
  • 48 clinicians in this Medicare group
NPI 1548061104 (704) 598-5136

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27610 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 4

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

DOMINEE EHRHARDT NP
Nurse Practitioner (Adult Health)
4551 NEW BERN AVE STE 100
RALEIGH, NC 27610
Wake County (984) 215-4950
PAMELA LIANE HARRIS CLAXTON NP-C
Nurse Practitioner (Gerontology)
4551 NEW BERN AVE STE 100
RALEIGH, NC 27610
Wake County (984) 215-4950
ANJALI MARBLE D.O.
Family Medicine
4551 NEW BERN AVE STE 100
RALEIGH, NC 27610
Wake County (984) 215-4950
DENISE POLAND LAMM P.A.-C
Physician Assistant
4551 NEW BERN AVE STE 100
RALEIGH, NC 27610
Wake County (984) 215-4950

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 1639626153. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Nicole Spencer located?

Nicole Spencer practices at 4551 New Bern Ave Ste 100, Raleigh, NC 27610. The listed phone number is (984) 215-4950.

What is Nicole Spencer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Nicole Spencer enrolled in Medicare?

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

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: Drx High Point, PLLC (High Point, NC), County Of Forsyth, North Carolina (Winston Salem, NC) and Post Acute Clinical Services PLLC (Charlotte, NC). 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.

When was this NPI record last updated?

The NPPES record for Nicole Spencer was last updated on August 10, 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.