Connie Marie Spencer (NPI# 1417496902, PAC ID# 5991089070) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1417496902 |
| PAC ID by PECOS | 5991089070 |
| Professional Enrollment ID | I20170927002417 |
| Full Name | Connie Marie Spencer |
| Organization Legal Name | SHENANDOAH MEDICAL CENTER |
| Address |
1 Jack Foster Dr Shenandoah IA 51601-4586 |
| Phone Number | 7122467240 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9436063237 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 161366 | SHENANDOAH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 7122467240 | SHENANDOAH MEDICAL CENTER |
| Organization Legal Name | SHENANDOAH MEDICAL CENTER |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Robinette | Nurse Practitioner | Shenandoah Medical Center | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 |
| Todd M Isaacson | Family Medicine | Shenandoah Medical Center | 300 Pershing Ave, Shenandoah, IA 51601-2355 |
| Samuel L Jeffers | Certified Registered Nurse Anesthetist (crna) | Shenandoah Medical Center | 300 Pershing Ave, Shenandoah, IA 51601-2355 |
| Martee R Macleod Kozal | Obstetrics/gynecology | Shenandoah Medical Center | 300 Pershing Ave, Shenandoah, IA 51601-2355 |
| Talisha I Furst | Nurse Practitioner | Shenandoah Medical Center | 300 Pershing Ave, Shenandoah, IA 51601-2355 |
| Kristen L Thatcher | Nurse Practitioner | Shenandoah Medical Center | 300 Pershing Ave, Shenandoah, IA 51601-2355 |
| Timothy J Smith | Internal Medicine | Shenandoah Medical Center | 300 Pershing Ave, Shenandoah, IA 51601-2355 |
| Jenifer A Deziel | Nurse Practitioner | Shenandoah Medical Center | 300 Pershing Ave, Shenandoah, IA 51601-2355 |
| Melissa S Marshall | Nurse Practitioner | Shenandoah Medical Center | 300 Pershing Ave, Shenandoah, IA 51601-2355 |
| Melissa M Godfread | Clinical Social Worker | Shenandoah Medical Center | 300 Pershing Ave, Shenandoah, IA 51601-2355 |
| Street Address |
1 JACK FOSTER DR |
| City | SHENANDOAH |
| State | IA |
| Zip | 51601-4586 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Robinette | Nurse Practitioner | Shenandoah Medical Center | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 |
| Renee Michelle Johnson | Nurse Practitioner | Shenandoah Medical Center | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 |
| Heather Lee Babe | Family Medicine | Shenandoah Medical Center | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 |
| Jona J Hutson | Certified Nurse Midwife (cnm) | Shenandoah Medical Center | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 |
| Lon W Keim | Pulmonary Disease | Shenandoah Medical Center | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 |
| Satya S Thippareddi | Family Practice | Shenandoah Medical Center | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 |
| Michael T Salwitz | Family Practice | Shenandoah Medical Center | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John P Outhier | Chiropractic | 600 S Fremont St B, Shenandoah Chiropractic and Laser Clinic, Shenandoah, IA 51601-1539 | |
| Peter Fowle | Clinical Social Worker | 523 W Sheridan Ave, Shenandoah, IA 51601-1705 | |
| James O Cloepfil | Optometry | Eyecare Associates of Southwest Iowa Inc | 505 W Sheridan Ave, Shenandoah, IA 51601-1705 |
| Jacob Walter Muller | Optometry | Eyecare Associates of Southwest Iowa Inc | 505 W Sheridan Ave, Shenandoah, IA 51601-1705 |
| Gregory L Samuelson | Optometry | Eyecare Associates of Southwest Iowa Inc | 505 W Sheridan Ave, Shenandoah, IA 51601-1705 |
| Orlin J Fick | Optometry | Eyecare Associates of Southwest Iowa Inc | 505 W Sheridan Ave, Shenandoah, IA 51601-1705 |
| Kristin J Golden | Nurse Practitioner | Premier Healthcare of Shenandoah PC | 813 Church St, Shenandoah, IA 51601-2301 |
| Jeffrey P Mccoy | Chiropractic | Premier Healthcare of Shenandoah PC | 813 Church St, Shenandoah, IA 51601-2301 |
| Zackery J Vandenhout | Chiropractic | Premier Healthcare of Shenandoah PC | 813 Church St, Shenandoah, IA 51601-2301 |
| Matthew P Potratz | Chiropractic | Millennium Chiropractic PC | 813 Church St, Shenandoah, IA 51601-2301 |
| Find all physicians in zip 51601 | |||
| City | SHENANDOAH |
| Zip Code | 51601 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SHENANDOAH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Connie Marie Spencer.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.