MR. MICHAEL W. SPENCER DNP PMHNP-BC NP-C NPI 1922424993

NPI Information

NPI: 1922424993
Provider Name: MR. MICHAEL W. SPENCER, DNP, PMHNP-BC, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
800 M 139
BENTON HARBOR, MI
ZIP 49022
Phone: (269) 927-5400
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MR. Michael W. Spencer, DNP, PMHNP-BC, NP-C is a family nurse practitioner in Benton Harbor, MI with 7 years of experience. MR. Michael W. Spencer, DNP, PMHNP-BC, NP-C NPI is 1922424993. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

800 M 139
BENTON HARBOR, MI
ZIP 49022-881
Phone: (269) 927-5400

The NPI 1922424993 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/13/2014 and was last updated on 6/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		4704192354	MICHIGAN	No
2	363LF0000X	Nurse Practitioner	Family	4704192354	MICHIGAN	Yes
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	4704192354	MICHIGAN	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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