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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

NPI1003282864
StatusActive
Entity typeIndividual
CredentialFNP-C
Sole proprietorYes
NPI issuedAug 17, 2015
Last updated in NPPESSep 17, 2026
Certified by providerSep 17, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X2015025652MO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (MO)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients90
Services billed284 across 30 procedure codes
Paid by Medicare$13,630

Part D prescriptions in 2024

Prescriptions (claims)1,294 · 2,573 30-day fills
Patients190
Total drug cost$103,840
Generic share83% of claims

Medicare sources and data years

Education and affiliations

Graduation year2015
Medicare specialtyNurse Practitioner

Medical group

Hospital affiliation

Source: CMS Care Compare

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

CompanyAmountPayments
Axsome Therapeutics, Inc.$22.251

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