MRS. DEANNA AMBER SPENCE NURSE PRACTITIONER
NPI 1659858744
Nurse Practitioner - Family in Port Jefferson, NY

Active since July 23, 2018PECOS EnrolledAccepts Medicare Assignment
120 N COUNTRY RD, PORT JEFFERSON, NY 11777(631) 474-7461 Get Directions Write a Review

NPPES record last updated: July 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Deanna Amber Spence Nurse Practitioner NPPES

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

MRS. DEANNA AMBER SPENCE NURSE PRACTITIONER (NPI 1659858744) is an individual family provider in Port Jefferson, New York, licensed in New York (343365) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1659858744
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. DEANNA AMBER SPENCECredential: NURSE PRACTITIONER
Location Address120 N COUNTRY RDPort Jefferson, NY 11777-2604
Mailing Address8 Robert CtShoreham, NY 11786-1926 · (631) 316-2397
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 23, 2018
NPI 1659858744 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 NY · 343365
120 N COUNTRY RD, Port Jefferson, NY 11777

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

Mrs. Deanna Amber Spence Nurse Practitioner 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 ID3971855446
PECOS Enrollment IDI20181010003326
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 11777 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 7

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

Nurse Practitioner (Adult Health)
120 N COUNTRY RD
PORT JEFFERSON, NY 11777
Physician Assistant
120 N COUNTRY RD, SUITE 1
PORT JEFFERSON, NY 11777
Radiology (Diagnostic Radiology)
120 N COUNTRY RD
PORT JEFFERSON, NY 11777
General Acute Care Hospital
120 N COUNTRY RD
PORT JEFFERSON, NY 11777
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
120 N COUNTRY RD
PORT JEFFERSON, NY 11777
Specialist
120 N COUNTRY RD
PORT JEFFERSON, NY 11777
Allergy & Immunology
120 N COUNTRY RD, SUITE 1
PORT JEFFERSON, NY 11777

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 Deanna Spence's NPI number?

The NPI number for Deanna Spence is 1659858744. It was assigned to this individual provider in the NPPES registry on July 23, 2018.

Where is Deanna Spence located?

Deanna Spence practices at 120 N Country Rd, Port Jefferson, NY 11777. The listed phone number is (631) 474-7461.

What is Deanna Spence's specialty?

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

Is Deanna Spence enrolled in Medicare?

Yes. Deanna Spence 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.

When was this NPI record last updated?

The NPPES record for Deanna Spence was last updated on July 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.