MR. MICHAEL W. SPENCER (DNP, PMHNP-BC, NP-C) – Family Nurse Practitioner, NPI 1922424993
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. MICHAEL W. SPENCER (DNP, PMHNP-BC, NP-C)
300 68th St SE
Grand Rapids, MI 495486927
Phone: (616) 455-5000
Fax: (616) 455-5960
Type: Location
50 INDUSTRIAL PARK RD
BANGOR, MI 490131246
Phone: (269) 427-7937
Type: Mailing
800 M 139
BENTON HARBOR, MI 490223881
Phone: (269) 927-5400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $656.
Total Amount is formed as General ($656) + Research ($0) + Ownership ($0) = $656.
Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($352).
Total Amount
$656
General + Research + Ownership
Payments
31
Total payment records
General Amount
$656
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Supernus Pharmaceuticals, Inc. | $352 |
| Novo Nordisk Inc | $148 |
| ABBVIE INC. | $80 |
| Axsome Therapeutics, Inc. | $60 |
| Exact Sciences Corporation | $16 |
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: 2014-07-03
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 |
|---|---|---|---|---|
| I20140703001852 | I | Nurse Practitioner | MI | 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 49548)
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