LISA ELLEN SPENCER (APRN) – Gerontology Nurse Practitioner, NPI 1003272204
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,343 NURSE PRACTITIONER in KY
Provider Addresses for LISA ELLEN SPENCER (APRN)
PO BOX 2379
ASHLAND, KY 411052379
Phone: (606) 408-6200
Fax: (606) 408-6612
Type: Mailing
613 23RD ST STE 230
ASHLAND, KY 411012868
Phone: (606) 324-4745
Fax: (606) 324-4941
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 130 Open Payments records for all available years, with a total value of $1,742.
Total Amount is formed as General ($1,742) + Research ($0) + Ownership ($0) = $1,742.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($679).
Total Amount
$1,742
General + Research + Ownership
Payments
130
Total payment records
General Amount
$1,742
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-02-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160205001263 | I | Nurse Practitioner | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 41105)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | KY | |
| Cardiovascular Disease (Cardiology), Internal Medicine | KY | |
| - | KY | |
| Interventional Cardiology | KY | |
| Pulmonary Disease, Critical Care (Intensivists) | KY | |
| Plastic And Reconstructive Surgery | NY | |
| Vascular Surgery, General Surgery | KY |
Reviews
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