JEREMY SPENCER (NURSE PRACTITIONER) – Psychiatric/Mental Health Registered Nurse, NPI 1174998371

JEREMY SPENCER (NURSE PRACTITIONER) is a healthcare provider. based in Caro, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 4704286855 (MI). The NPI Number for JEREMY SPENCER (NURSE PRACTITIONER) is 1174998371

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY SPENCER (NURSE PRACTITIONER)
NPI
1174998371
Phone
(989) 673-6191
Address
1332 PROSPECT AVE
Enumeration Date
14 December 2015
Last Update Date
26 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9898600088
Graduation Year
2022 (4 years ago)
PAC ID
1153794839
Group Practice PAC ID
4486949807
Professional Enrollment ID
I20230228000542
Address ID
MI487239686CA1525XRDXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for JEREMY SPENCER (NURSE PRACTITIONER)

  • 1332 PROSPECT AVE

    CARO, MI 487239288

    Phone: (989) 673-6191

    Type: Location

  • 323 N STATE ST

    CARO, MI 487231537

    Phone: (989) 673-6191

    Fax: (989) 672-2199

    Type: Mailing

  • 1525 W CARO RD

    CARO, MI 487239686

    Phone: (989) 672-2100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $383.

Total Amount is formed as General ($383) + Research ($0) + Ownership ($0) = $383.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($149).

Total Amount

$383

General + Research + Ownership

Payments

6

Total payment records

General Amount

$383

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-02-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230228000542INurse PractitionerMITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes219104$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5351$0
99239Hospital discharge day management, more than 30 minutes5352$0
View full utilization report →

Insurance plans in this area (ZIP 48723)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486949807View full group profile
NameSpecialtyState
Nurse PractitionerMI
-MI
Nurse PractitionerMI
Nurse PractitionerMI
Physician AssistantMI
Nurse PractitionerMI
Nurse PractitionerMI
-MI
Family PracticeMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Can I cross-check JEREMY SPENCER (NURSE PRACTITIONER) using NPI 1174998371?
NPI 1174998371 belongs to JEREMY SPENCER (NURSE PRACTITIONER); compare other details if you need extra assurance.
Is there an active status for JEREMY SPENCER (NURSE PRACTITIONER)?
For scheduling context, JEREMY SPENCER (NURSE PRACTITIONER) is shown as active in the registry.
What area of care is associated with JEREMY SPENCER (NURSE PRACTITIONER)?
JEREMY SPENCER (NURSE PRACTITIONER)'s record emphasizes Psychiatric/Mental Health Registered Nurse. Clinical services aligned with this taxonomy classification.
What locale is associated with JEREMY SPENCER (NURSE PRACTITIONER)?
Directory geography for JEREMY SPENCER (NURSE PRACTITIONER) centers on Caro, Michigan.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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