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Deactivated NPI 1629254958 Deactivated / Inactive NPI Male Practitioner

David Lewis Spence , REGISTERED NURSE

Registered Nurse - Emergency • Big Spring, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, David Spence has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 16, 2008
NPI Deactivation Date May 15, 2024
Total Practice Duration ~16 Years of Practice (2008 – 2024)

Professional Overview & Biography Verified Profile Summary

David Spence, REGISTERED NURSE was a registered Registered Nurse - Emergency practicing in Big Spring, TX. Throughout an active medical career spanning 16 years, David Spence provided care at the practice location at 300 W VETERANS BLVD until profile deactivation on 2024-05-15.

Historical Medicare Part B clinical services included injection, triamcinolone acetonide, not otherwise specified, 10 mg, injection, ceftriaxone sodium, per 250 mg, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

300 W Veterans Blvd

Big Spring, TX 797205566

Telephone 4322637361
Associated Practice Facility / Clinic
🏢 Big Spring Vamc Facility NPI 1902855901

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse - Emergency in Big Spring, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Big Spring, TX (219 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
48 12 $10.00 $1.13
J0696 Injection, ceftriaxone sodium, per 250 mg
44 11 $20.00 $0.48
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
31 19 $40.00 $11.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
21 21 $365.71 $129.98

Medical Specialties & State Licenses

Registered Nurse - Emergency Primary Specialty

NUCC Taxonomy Code: 163WE0003X

State License AZ RN064981

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Tyson Kubena

Student in an Organized Health Care Education/Training Program

NPI 1013180991
Lisa Garza , R, T(R)(MR)

Radiologic Technologist - Radiography

NPI 1013214899
NPI 1023037843

Licensed Master Social Worker

Gaddum Reddy

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1043224496
Sharon Murphy , LCSW

Social Worker - Clinical

NPI 1043318272

Licensed Clinical Social Worker

NPI 1063104735

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
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NPI Profile Deactivated May 15, 2024

Record deactivated on May 15, 2024

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Provider Name / Credentials Updated October 24, 2019

Recorded as DAVID SPENCE, NURSE PRACTITIONER

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2019

Nurse Practitioner (License #AP143482 in TX)

NPI Profile Active January 16, 2008

NPI status registered as active in NPPES database

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Updated Practice Location January 16, 2008

Registered at 300 W VETERANS BLVD, BIG SPRING, TX 797205566 (Tel: 4322637361)

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Updated Business Mailing Address January 16, 2008

Registered at PO BOX 466, 10610 E. MIDWAY ROAD, COAHOMA, TX 795110466 (Tel: 4324137696)

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Provider Name / Credentials Updated January 16, 2008

Recorded as DAVID SPENCE, REGISTERED NURSE

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2008

Registered Nurse (License #RN064981 in AZ)

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Initial NPI Registration & Enumeration January 16, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629254958
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2008
Last Update: January 16, 2008
Deactivation Date: May 15, 2024

Mailing Address

Po Box 466, 10610 E. Midway Road

Coahoma, TX 795110466

Phone: 4324137696

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.