1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Nurse Practitioner
  6. NPI Profile

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

Active since September 22, 2006
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: September 06, 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.

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
Open in Google Maps ↗

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

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.

ANDREA LYNN BERSHOW MD
Dermatology
516 DELAWARE ST SE, 4-240, PHILLIPS-WANGENSTEEN BLDG.
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-8625
UNIVERSITY OF MINNESOTA DEPARTMENT OF OPHTHALMOLOGY
Clinic/Center (Ophthalmologic Surgery)
516 DELAWARE ST SE, DEPARTMENT OF OPHTHALMOLOGY
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-4400
BROOKE KANEY MSW, LICSW
Social Worker (Clinical)
516 DELAWARE ST SE, CLINIC 1C
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-6191
HUDA SHEHEITLI M.D.
Ophthalmology
516 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-7422
JAMES EDWARD HINRICHS
Dentist (Periodontics)
516 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-3533
JOSE ERNESTO MOLINA MD
Surgery
516 DELAWARE ST SE, PWB THIRD FLOOR, CLINIC 3B
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-3600
DR. JEFFREY S MILLER MD
Internal Medicine (Hematology)
516 DELAWARE ST SE, SUITE 5-100, CLINIC 5B UNIVERSITY OF MINNESOTA PHYSICIA
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-2800
DR. MIRNA GEORGES BOUMITRI M.D.
Internal Medicine (Nephrology)
516 DELAWARE ST SE, CLINIC 2A
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-1687

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.

When was this NPI record last updated?

The NPPES record for Mary Jo Spencer was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.