Spencer Allen Shupe, APNP - Medicare Nurse Practitioner in Amherst, WI

Spencer Allen Shupe, APNP is a medicare enrolled "Nurse Practitioner - Family" in Amherst, Wisconsin. His current practice location is 272 Christy St, Amherst, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 824-5151.

Spencer Allen Shupe is licensed to practice in Wisconsin (license number 13166) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205553617.

Contact Information

Spencer Allen Shupe, APNP
272 Christy St,
Amherst, WI 54406-9390
(715) 824-5151
Not Available



Provider's Profile

Full NameSpencer Allen Shupe
GenderMale
SpecialityNurse Practitioner - Family
Location272 Christy St, Amherst, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205553617
  • Provider Enumeration Date: 10/26/2022
  • Last Update Date: 10/26/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1355719758
  • Enrollment ID: I20221116000098

Medical Identifiers

Medical identifiers for Spencer Allen Shupe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205553617NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 13166 (Wisconsin)Primary

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. Spencer Allen Shupe allows following entities to bill medicare on his behalf.
Entity NameAspirus Rhinelander & Tomahawk Hospitals & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144991340
PECOS PAC ID: 9335059856
Enrollment ID: O20031126000706

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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. Spencer Allen Shupe 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
Spencer Allen Shupe, APNP
936 Kronenwetter Dr Apt 5,
Kronenwetter, WI 54455-6215

Ph: (715) 321-3321
Spencer Allen Shupe, APNP
272 Christy St,
Amherst, WI 54406-9390

Ph: (715) 824-5151

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Nurse Practitioner Nurses in Amherst, WI


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