NPPES file of Aug 9, 2026

Karen Sue Spencer, FNP-BC

Nurse Practitioner · San Antonio, TX

Karen Sue Spencer, FNP-BC is a nurse practitioner with a practice address in San Antonio, Texas, and NPI 1922313063, issued on Aug 13, 2010. Check the license (Texas AP119257, as entered in NPPES) with the Texas board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1922313063
Name
Karen Sue Spencer
Credential
FNP-BC
Primary taxonomy
Nurse Practitioner 363L00000X
License numbers
AP119257 TX
597006 TX
Self-reported in NPPES; status is on the state search
Practice location
520 E Euclid Ave, San Antonio, TX 78212
Phone
(210) 271-0606
Enumerated
Aug 13, 2010
Record last updated
Jul 1, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(210) 475-9806
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 520 E Euclid Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. John Alvarez, M.D.Gastroenterology Physician1255692083
  2. Vanessa Becker, PA-CPhysician Assistant1861496440
  3. Jeff Bullock, M.D.Gastroenterology Physician1528062288
  4. Anna Cedillo, APRN-CNPAcute Care Nurse Practitioner1558025031
  5. Shelby Clark, APRNNurse Practitioner1669225827
  6. Izamar De La Garza, NPNurse Practitioner1982349213

Verify Karen Sue Spencer in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Texas board licenses this profession
    Search for license AP119257
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Texas license search

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83% fewer Medicare Part D claims than the average nurse practitioner in 2024

184 Medicare Part D claims for 69 beneficiaries, against an average of 1,109 among the 54,319 providers of this specialty who prescribed in Part D. Brand-name drugs were 26% of claims.

  1. Karen Spencer184
  2. Specialty average1,109

Most prescribed

  1. Myrbetriq11 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 79.9 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score68.6
  2. Costout of 100 · 30%64.4
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $33.58

2 payments; by number, the most common kind was food and beverage; the largest payer was Janssen Biotech, Inc. The 38,884 providers of this specialty with any payment received $791.64 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Karen Spencer$33.58
  2. Specialty average$791.64

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Karen Sue Spencer among 4,825 nurse practitioner records in Texas

Karen Sue Spencer, FNP-BC is one of 4,825 nurse practitioner records with a practice address in Texas. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 22% of them.

  • NPI issued2010 · 22% of these records are older, 76% newer
  • In a Medicare fileYes · 73% of these records are
  • In the CMS Doctors and Clinicians fileNo · 54% of these records are
  • Record last updated2021 · 42% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363L00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

393 nurse practitioner records list a practice address in San Antonio

They are 393 of the 37,749 NPPES records with a practice address in San Antonio, and 4,825 nurse practitioner records in Texas.

The 8 nurse practitioner records with the nearest ZIP codes

  1. Bernadette Brooks, NPSan Antonio, TX 782121871134767
  2. Analuisa Cabrera, MSN, AGACNP-BC, FNPSan Antonio, TX 782121639608482
  3. Shelby Clark, APRNSan Antonio, TX 782121669225827
  4. Nathan DavilaSan Antonio, TX 782121679967483
  5. Julian Davila, NP-CSan Antonio, TX 782121043987837
  6. Izamar De La Garza, NPSan Antonio, TX 782121982349213
  7. Cynthia Guzman, FNP-BCSan Antonio, TX 782121083355242
  8. Rosa Lott, FNPSan Antonio, TX 782121841882560

Common questions

What is Karen Sue Spencer, FNP-BC's NPI number?

Karen Sue Spencer, FNP-BC's National Provider Identifier (NPI) is 1922313063, issued on Aug 13, 2010. An NPI identifies a provider in billing; it is not a license.

Where is Karen Sue Spencer, FNP-BC located?

The NPPES record lists a practice address at 520 E Euclid Ave, San Antonio, TX, 78212. Phone: (210) 271-0606. Providers update this record themselves, so call before visiting.

How can I verify Karen Sue Spencer, FNP-BC's license?

NPPES lists Texas license number AP119257, as entered by the provider. Search the Texas board that licenses this profession; the NPPES record confirms identity only.

How much does Karen Sue Spencer, FNP-BC prescribe under Medicare Part D?

In 2024, Karen Sue Spencer, FNP-BC had 184 Medicare Part D claims for 69 beneficiaries; the average among nurse practitioner prescribers was 1,109. Part D covers Medicare prescriptions only.

What is Karen Sue Spencer, FNP-BC's MIPS final score?

The 2023 MIPS final score is 79.9 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.