The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-06-04

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary Specialty

NUCC Taxonomy Code: 320900000X

License # reported to NPPES MO 2018031484

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events

📍

Updated Practice Location June 04, 2024

Registered at 3570 RIPLEY EE-2, GATEWOOD, MO 639429034 (Tel: 5732553347)

📍

Updated Business Mailing Address June 04, 2024

Registered at 3570 RIPLEY EE-2, GATEWOOD, MO 639429034 (Tel: 5732553347)

✅

NPI Profile Active April 09, 2019

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) April 09, 2019

Registered at RR 9 BOX 1102, GATEWOOD, MO 639429034 (Tel: 5732553347)

📍

Business Mailing Address (Initial Record) April 09, 2019

Registered at RR 9 BOX 1102, GATEWOOD, MO 639429034 (Tel: 5732553347)

👤

Provider Name / Credentials (Initial Record) April 09, 2019

Recorded as NICHOLAS SPENCER, OTR/L

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2019

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (license number reported to NPPES: MO 2018031484)

🟢

Initial NPI Registration & Enumeration April 09, 2019

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1740743459

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 09, 2019

Last Update: June 04, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3570 Ripley Ee-2

Gatewood, MO 639429034

Phone: 5732553347

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.