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MARY JO L SPENCER CPNP
NPI 1881794659
Nurse Practitioner - Pediatrics in Minneapolis, MN

Active since September 22, 2006PECOS Enrolled
516 DELAWARE ST SE, PWB FOURTH FLOOR, ROOM 4-100, MINNEAPOLIS, MN 55455(612) 884-0936 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary Jo L Spencer Cpnp NPPES

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

MARY JO L SPENCER CPNP (NPI 1881794659) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (R 086024-0) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881794659
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARY JO L SPENCERCredential: CPNP
Location Address516 DELAWARE ST SE, PWB FOURTH FLOOR, ROOM 4-100Minneapolis, MN 55455-0356
Mailing Address420 Delaware Street Se, University Of Minnesota PhysiciansMinneapolis, MN 55455 · (612) 884-0936
Phone(612) 884-0936
Sole ProprietorNo
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1881794659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MN · R 086024-0
516 DELAWARE ST SE, Minneapolis, MN 55455
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Other Identifiers 10

Other107868MN · Ucare
Other05G59SPMN · Blue Cross Blue Shield
Other1015967MN · Preferred One
Medicaid4300179MT
OtherHP20941MN · Health Partners
Other768359MN · Araz
Other12-13453MN · Medica Choice
Medicaid131017800MN
Other12-13453MN · Medica Primary
Other157941MN · Fairview

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Jo L Spencer Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 55455 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
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 20

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

ANGELA PETERSON KRAMER PA-C
Physician Assistant
516 DELAWARE ST SE, 14-148 PWB
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-2654
DR. GREGG W. ANDERSON M.D.
Specialist
516 DELAWARE ST SE, CLINIC 1E
COON RAPIDS, MN 55455
Hennepin County (612) 624-5915
DR. MITCHELL ELLIOTT BENDER M.D.
Dermatology
516 DELAWARE ST SE, UNIVERSITY OF MN PHYSICIANS PWB FIFTH FLOOR, CLINIC 5A
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-5656
ANNETTE FRIEDHEIM N.P.
Nurse Practitioner
516 DELAWARE ST SE, UNIV.OF MN PHYSICIANS, PWB FIFTH FLOOR, CLINIC 5B
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-2663
DR. JAMIE LYNN FELDMAN M.D., PHD
Family Medicine
516 DELAWARE ST SE, 3-150 PWB, CLINIC 3A
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-9499
DR. JOHN RAYMOND FENYK JR. M.D.
Dermatology
516 DELAWARE ST SE, MMC 98
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-5656
DR. WAYNE O. ADKISSON M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
516 DELAWARE ST SE, UMMC FAIRVIEW, 3RD FLOOR PWB
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-3600
PATRICK G ARNDT MD
Internal Medicine (Pulmonary Disease)
516 DELAWARE ST SE, 2ND FLOOR PWB, CLINIC 2A
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-6100

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 Mary Jo Spencer's NPI number?

The NPI number for Mary Jo Spencer is 1881794659. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Mary Jo Spencer located?

Mary Jo Spencer practices at 516 Delaware St SE Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455. The listed phone number is (612) 884-0936.

What is Mary Jo Spencer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Mary Jo Spencer enrolled in Medicare?

Yes. Mary Jo Spencer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Jo Spencer was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.