NANCY E SPENCE LPC
NPI 1811645898
Counselor - Professional in Cedar Park, TX
About Nancy E Spence Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NANCY E SPENCE LPC (NPI 1811645898) is an individual professional provider in Cedar Park, Texas, licensed in Texas (67673) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nancy E Spence Lpc 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.
Medicare Billing Reassignment
Medicare enrollment records show Nancy Spence reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Round Rock, TX 78665
- Reassigned Medicare billing, Texas enrollment
- 14 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CEDAR PARK, TX 78641
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 Nancy Spence's NPI number?
The NPI number for Nancy Spence is 1811645898. It was assigned to this individual provider in the NPPES registry on March 17, 2022. The provider is also known as Nancy E Shreve Lpc.
Where is Nancy Spence located?
Nancy Spence practices at 2901 Caballo Ranch Blvd Ste 6A, Cedar Park, TX 78641. The listed phone number is (512) 925-7222.
What is Nancy Spence's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Nancy Spence enrolled in Medicare?
Yes. Nancy 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.
Which organization bills Medicare for Nancy Spence's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Spence reassigns Medicare benefits to Alliance Counseling Works, LLP (Round Rock, TX). The 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 Nancy Spence's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nancy Spence accept?
Health plans from Cigna Healthcare, Harbor Health, Moda Health Plan, Inc., Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Nancy Spence as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Nancy Spence was last updated on March 21, 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.
# Nancy E Spence, LPC · NPI 1811645898
Professional provider in Cedar Park, Texas. Individual provider, active in the CMS NPPES registry since March 17, 2022.
## Identity
- **NPI:** 1811645898 (Entity type: Individual)
- **Enumerated:** March 17, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 67673 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2901 CABALLO RANCH BLVD STE 6A, Cedar Park, TX 78641-4637
- **Phone:** (512) 925-7222
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Alliance Counseling Works, LLP (NPI 1619467305, Round Rock, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** March 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1811645898) · Data from the CMS NPPES public registry.