Michelle Spencer, FNP-C
NPI 1003282864ActiveIndividual· Nurse Practitioner, Family· Battlefield, MO
Nurse Practitioner, Family (FNP-C) with Lester E Cox Medical Centers, practicing in Battlefield, Missouri. Their prescriptions cost Medicare Part D more than their services did: $103,840 for 1,294 claims, against $13,630 paid for services in 2024. Axsome Therapeutics, Inc. reported $22.25 in payments in 2025, mostly food and beverage. Lists Cox Medical Centers as a hospital affiliation.
Overview
| NPI | 1003282864 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | Yes |
| NPI issued | Aug 17, 2015 |
| Last updated in NPPES | Sep 17, 2026 |
| Certified by provider | Sep 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 2015025652 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 90 |
|---|---|
| Services billed | 284 across 30 procedure codes |
| Paid by Medicare | $13,630 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,294 · 2,573 30-day fills |
|---|---|
| Patients | 190 |
| Total drug cost | $103,840 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Lester E Cox Medical CentersOzark, MO · 246 clinicians
Hospital affiliation
- Cox Medical CentersSpringfield, MO
Industry payments (Open Payments)
- 2025$22.25 · 1 payment from 1 company
- 2024$14.16 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Axsome Therapeutics, Inc. | $22.25 | 1 |
What the 2025 payments were for
- Food and Beverage$22.25 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records