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SCOTT SPENCER
NPI 1669103800
Nurse Practitioner - Family in Beaver Island, MI

Active since June 20, 2022
37304 KINGS HWY, BEAVER ISLAND, MI 49782(231) 448-2275 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Scott Spencer NPPES

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

SCOTT SPENCER (NPI 1669103800) is an individual family provider in Beaver Island, Michigan, licensed in Michigan (4704354457) and active in the NPI registry since June 2022. He maintains a secondary practice location in Traverse City.

NPPES Registry Identity

NPI1669103800
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSCOTT SPENCER
Location Address37304 KINGS HWYBeaver Island, MI 49782-5134
Mailing Address9058 S Tottenham DrTraverse City, MI 49685-8569
Phone(231) 448-2275
Sole ProprietorNo
Enumeration DateJune 20, 2022
NPPES CertifiedJune 20, 2022
✔ NPI 1669103800 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 MI · 4704354457
37304 KINGS HWY, Beaver Island, MI 49782
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Secondary Practice Location 1

Location 19058 S Tottenham DrTraverse City, MI 49685-8569 · Phone (231) 590-1512

Other Providers at the Same Location NPPES 5

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

MRS. KIMBERLY ELIZABETH WYSOCKI PA
Physician Assistant
37304 KINGS HWY
BEAVER ISLAND, MI 49782
Charlevoix County (231) 448-2275
COURTNEY DERUITER RDH
Dental Hygienist
37304 KINGS HWY
BEAVER ISLAND, MI 49782
Charlevoix County (231) 547-7650
BEAVER ISLAND RURAL HEALTH CENTER
Clinic/Center (Rural Health)
37304 KINGS HWY
BEAVER ISLAND, MI 49782
Charlevoix County (231) 448-2275
AMANDA TIFFANY MCGEE NP-C
Nurse Practitioner (Family)
37304 KINGS HWY
BEAVER ISLAND, MI 49782
Charlevoix County (602) 793-5349
SUSAN JANE SOLLE FNPC
Nurse Practitioner (Family)
37304 KINGS HWY
BEAVER ISLAND, MI 49782
Charlevoix County (231) 448-2275

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 Scott Spencer's NPI number?

The NPI number for Scott Spencer is 1669103800. It was assigned to this individual provider in the NPPES registry on June 20, 2022.

Where is Scott Spencer located?

Scott Spencer practices at 37304 Kings Hwy, Beaver Island, MI 49782. The listed phone number is (231) 448-2275.

What is Scott Spencer's specialty?

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

When was this NPI record last updated?

The NPPES record for Scott Spencer was last updated on June 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.