Dr Dustin Spencer, DNP, FNP-C, PMHNP-BC - Medicare Nurse Practitioner in Charlotte, NC

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Dr Dustin Spencer, DNP, FNP-C, PMHNP-BC is a medicare enrolled "Nurse Practitioner" in Charlotte, North Carolina. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Novant Medical Group Inc and his current practice location is 200 Hawthorne Ln, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 384-9414.

Dr Dustin Spencer is licensed to practice in North Carolina (license number 5013569) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083930663.

Contact Information

Dr Dustin Spencer, DNP, FNP-C, PMHNP-BC
200 Hawthorne Ln,
Charlotte, NC 28204-2515
(704) 384-9414
(704) 384-5735

Map and Direction




Provider's Profile

Full NameDr Dustin Spencer
GenderMale
SpecialityNurse Practitioner
Experience14 Years
Location200 Hawthorne Ln, Charlotte, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Dustin Spencer graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1083930663
  • Provider Enumeration Date: 04/08/2010
  • Last Update Date: 07/26/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7113827015
  • Enrollment ID: I20210510001030

Medical Identifiers

Medical identifiers for Dr Dustin Spencer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083930663NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024178379 (Virginia)Secondary
363LF0000XNurse Practitioner - Family 20187 (South Carolina)Secondary
363LF0000XNurse Practitioner - Family 4704252348 (Michigan)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 0024178379 (Virginia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 4704252348 (Michigan)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 20187 (South Carolina)Secondary
363L00000XNurse Practitioner 5013569 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Novant Medical Group Inc11532348931996

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Dustin Spencer allows following entities to bill medicare on his behalf.
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692
Entity NameForsyth Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104548874
PECOS PAC ID: 9537071790
Enrollment ID: O20040405001702
Entity NameNovant Health Medical Group Coastal Region Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649865791
PECOS PAC ID: 2860809936
Enrollment ID: O20210408000285

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Dustin Spencer is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Dustin Spencer, DNP, FNP-C, PMHNP-BC
2764 Pleasant Rd Ste A-10701,
Fort Mill, SC 29708-7213

Ph: (803) 262-3667		Dr Dustin Spencer, DNP, FNP-C, PMHNP-BC
200 Hawthorne Ln,
Charlotte, NC 28204-2515

Ph: (704) 384-9414

Reviews and Comments


Nurse Practitioner Nurses in Charlotte, NC

Melissa E Jesse, NP
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Practice Location: 2236 Shenandoah Ave, Charlotte, NC 28205
Phone: 704-999-9857    
Mrs. Adrienne Dunlap Lane,
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Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204
Phone: 704-384-4109    
Melissa Renee Flood, NP
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Practice Location: 1225 Harding Pl, Ste 5100, Charlotte, NC 28204
Phone: 704-355-8850    
Anna Philbeck Burgess, FNP
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Practice Location: 4135 Southstream Blvd, Charlotte, NC 28217
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Stephanie Dawn Ferlic, FNP
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Phone: 704-910-5810    
Brooke Alyssa Davis, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 2711 Randolph Rd Ste 400, Charlotte, NC 28207
Phone: 704-342-1900    Fax: 704-377-0353
Angela Devincent Booth, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203
Phone: 704-381-8840    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.