NICOLE MARIE SPENCER MD
NPI 1760973176
Obstetrics & Gynecology - Gynecologic Oncology in Coon Rapids, MN

Q: What is Nicole Spencer's NPI number?

The NPI number for Nicole Spencer is 1760973176. It was assigned to this individual provider in the NPPES registry on May 21, 2018.

Q: What is Nicole Spencer's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Spencer was last updated on August 18, 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 21, 2018PECOS EnrolledAccepts Medicare Assignment

11850 BLACKFOOT ST NW STE 100, COON RAPIDS, MN 55433(763) 712-2100 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 2, 2022, Aug 2, 2022, May 21, 2018 (3 updates tracked since 2018).

On this page

About Nicole Marie Spencer Md NPPES

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

NICOLE MARIE SPENCER MD (NPI 1760973176) is an individual gynecologic oncology provider in Coon Rapids, Minnesota, licensed in Minnesota (80221) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of University Of Minnesota Medical School (2018).

NPPES Registry Identity

NPI1760973176

Entity TypeIndividualFemale

Primary Taxonomy207VX0201X

Provider Legal NameNICOLE MARIE SPENCERCredential: MD

Location Address11850 BLACKFOOT ST NW STE 100Coon Rapids, MN 55433-2774

Mailing Address2550 University Ave WSaint Paul, MN 55114-1052 · (651) 602-5335

Phone(763) 712-2100

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2018

Enumeration DateMay 21, 2018

Last NPPES UpdateAugust 18, 20253 updates tracked since enumeration

NPPES CertifiedAugust 18, 2025

✔ NPI 1760973176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207VX0201X

License✔ Licensed in MN · 80221

Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License T7051 (TX)

11850 BLACKFOOT ST NW STE 100, Coon Rapids, MN 55433

Open in Google Maps ↗

Other Identifiers 2

Medicaid1760973176TX

Other1760973176TX · Cshcn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, HealthPartners.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

Nicole Marie Spencer Md 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 ID3476941261

PECOS Enrollment IDI20250812002712

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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240057

Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County

Emergency services Birthing friendly

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240115

Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County

Emergency services Birthing friendly

Welia Health

Critical Access Hospitals · Mora, MN

OwnershipGovernment - Local

CMS Certification Number241367

Location301 South Highway 65Mora, MN 55051 · Kanabec County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55433 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

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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 9

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

AKIA M SMITH APRN, CNP, WHNP-BC

Nurse Practitioner (Women's Health)