Dr. Nicolle Spence, MD
- Medicare services, 2024
- 34
- Medicare patients, 2024
- 35
- Part D claims, 2024
- 265
- Hospital affiliations
- 2
- Industry payments
- $1,647
- Practice address
- Avenida Juan Ponce De Leon Parada 37 Hospital Auxilio Mutuo, Hato Rey, PR 00919
- Practice phone
- Call (787) 758-2000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Er Specialized Care - Hato Rey
Multi-specialty group site · Hato Rey, Puerto Rico
Find Dr. Spence's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Nicolle Spence is a general practice physician in Puerto Rico
Dr. Spence practices at Er Specialized Care - Hato Rey in Hato Rey, Puerto Rico.
Dr. Spence's NPI, 1013145812, was assigned on June 30, 2009. Dr. Spence graduated from Universidad Autonoma de Guadalajara in 2011. Dr. Spence holds Puerto Rico license 19243.
- NPI
- 1013145812NPI Registry (opens in a new tab)
- Medicare PAC ID
- 4789971789
- NPI enumeration date
- June 30, 2009
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (787) 758-2000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 45
- Medical school graduation
- 2011
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Nicolle Spence practices at Er Specialized Care - Hato Rey in Hato Rey, Puerto Rico
Dr. Spence's primary practice is Er Specialized Care - Hato Rey, at Avenida Juan Ponce De Leon Parada 37 Hospital Auxilio Mutuo, Hato Rey, PR 00919. The practice phone is (787) 758-2000.
- Er Specialized Care - Hato ReyAvenida Juan Ponce De Leon Parada 37 Hospital Auxilio Mutuo, Hato Rey, PR 00919Phone(787) 758-2000
Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Nicolle Spence is affiliated with 3 sites of care and 2 medical groups
Dr. Spence's primary practice is Er Specialized Care - Hato Rey in Hato Rey, Puerto Rico. Dr. Spence is also affiliated with Hospital Auxilio Mutuo. The medical group on file is HIMA San Pablo Caguas Hospital. Dmand AI also links Dr. Spence to 1 more hospital and 1 medical group, each named with a free account.
Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dmand AI tracks the EHR system at Dr. Nicolle Spence's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Spence practices, 3 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Er Specialized Care - Hato Rey | Available with a free account |
| +2 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Nicolle Spence is one of 2,604 general practice physicians in Puerto Rico
General practice is Dr. Spence's primary specialty in the NPI Registry, under taxonomy code 208D00000X. Dr. Spence is licensed in Puerto Rico.
Specialties and state licenses
- General practice, Puerto RicoPrimary
General practice physicians near Dr. Spence
Counts of general practice physicians with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Nicolle Spence billed Medicare for 34 services in 2024
CMS data shows 34 Medicare services from Dr. Spence across 1 procedure code in 2024, for 35 Medicare patients. Medicare paid $1,713 for them. Every service was in a facility, such as a hospital, rather than an office.
Dr. Spence's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 382024: 3411%
Dr. Spence compared with the Puerto Rico median for general practice physicians, 2024
- Dr. Spence
- Puerto Rico median
- Medicare services
- 34vs 34Close to median
- Medicare patients
- 35vs 1984% above
- Part D claims
- 110vs 73585% below
Medians across 3,001 general practice physicians in Puerto Rico with Dmand AI profiles that report each measure.
Dr. Spence's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Spence and other general practice physicians in Puerto Rico.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Nicolle Spence treated 35 Medicare patients in 2024, average age 79
CMS counts 35 Medicare patients who saw Dr. Spence in 2024. The largest group is 75 to 84, with 12 patients. 75% of them have high blood pressure, and 75% have high cholesterol. Their average risk score is 1.42, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Spence's median patient age at 72, with 72% women.
Dr. Spence's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Dr. Spence's Medicare patients by sex, 2024
- Women2469%
- Men1131%
Chronic conditions among Dr. Spence's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Diabetes63%
- Arthritis54%
Share of Medicare patients with each condition. A patient can have several.
Dr. Spence's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 72
Patient panel by sex, all payers
- Women72%
- Men28%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Nicolle Spence wrote 265 Medicare Part D claims in 2024
In 2024, Dr. Spence wrote 265 Medicare Part D claims for 171 patients. 89% of them were for generic drugs. CMS names the drug for 110 of them, across 7 drugs with 11 or more claims each, at $14,316 in total drug cost. In 2023, CMS named 107 claims across 6 drugs.
Dr. Spence's Part D claims by kind of drug, 2024
- Generic237 claims89%
- Brand-name14 claims5%
- Other14 claims5%
Dr. Spence's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Spence's Part D claims, 2024
- Opioids6%16 of 265 claims
- Antibiotics23%62 of 265 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 1072024: 1103%
Drugs named by CMS: 7 in 2024, 6 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
How Dr. Nicolle Spence takes part in Medicare
Dr. Spence accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
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Dr. Nicolle Spence received $1,647 in industry payments from 2016 to 2020
CMS Open Payments shows 26 general payments to Dr. Spence from 7 drug and device companies from 2016 to 2020. Food and beverage make up the largest share, 100% of the total. Janssen Pharmaceuticals, Inc paid the most, $701.
General payments to Dr. Spence by program year, 2016 to 2020
Companies that paid Dr. Spence the most, 2016 to 2020
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Nicolle Spence graduated from Universidad Autonoma de Guadalajara
Dr. Spence graduated from Universidad Autonoma de Guadalajara in 2011.
- Medical school
Source: Dmand AI Professional Profile Data
Dr. Nicolle Spence accepts plans from 2 insurance carriers
Dr. Spence is in network with 2 carriers, including Blue Cross Blue Shield of Michigan and CMS Medicare. HMO plans come from the most carriers, 1. Check the plan with the practice before a visit.
- Blue Cross Blue Shield of Michigan
- CMS Medicare
Plan types Dr. Spence accepts, by number of carriers
- HMO1
- Medicare1
- POS1
- PPO1
Source: Dmand AI Insurance Network Data
Sources for Dr. Nicolle Spence's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Nicolle Spence
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Nicolle Spence's NPI number?
Dr. Nicolle Spence's NPI number is 1013145812. It was assigned on June 30, 2009, and it is active in the NPI Registry.
What kind of doctor is Dr. Nicolle Spence?
Dr. Nicolle Spence is a general practice physician in Puerto Rico. The primary specialty in the NPI Registry is General Practice Physician (taxonomy code 208D00000X).
Where does Dr. Nicolle Spence practice?
Dr. Spence practices at Avenida Juan Ponce De Leon Parada 37 Hospital Auxilio Mutuo, Hato Rey, PR 00919. Dr. Spence's primary practice is Er Specialized Care - Hato Rey in Hato Rey, Puerto Rico. Dmand AI also links Dr. Spence to 1 hospital and 1 medical group.
What is Dr. Nicolle Spence's office phone number?
The practice phone on file for Dr. Spence is (787) 758-2000.
What is Dr. Nicolle Spence's medical license number?
Dr. Spence holds Puerto Rico license 19243.
Which hospitals is Dr. Nicolle Spence affiliated with?
Dr. Spence is affiliated with Hospital Auxilio Mutuo. Dmand AI links Dr. Spence to 1 more hospital.
What medical group is Dr. Nicolle Spence part of?
Dr. Spence is linked to HIMA San Pablo Caguas Hospital. Dmand AI links Dr. Spence to 1 more medical group.
Does Dr. Nicolle Spence accept Medicare?
Yes. CMS data shows Dr. Spence billed Medicare for 34 services in 2024, and Dr. Spence accepts Medicare assignment.
How many Medicare patients does Dr. Nicolle Spence see?
CMS counts 35 Medicare patients who saw Dr. Spence in 2024, with an average age of 79.
What services does Dr. Nicolle Spence bill to Medicare?
In 2024, Dr. Spence's most billed Medicare services were emergency department visit (99283).
Show 5 more questionsShow fewer questions
Where did Dr. Nicolle Spence go to medical school?
Dr. Spence graduated from Universidad Autonoma de Guadalajara in 2011.
What drugs does Dr. Nicolle Spence prescribe most?
In 2024 Medicare Part D data, Dr. Spence's most prescribed drugs by claims were Orphenadrine Citrate ER, Diclofenac Potassium and Amoxicillin-Clavulanate Potass.
Has Dr. Nicolle Spence received payments from drug or device companies?
CMS Open Payments shows $1,647 in general payments to Dr. Spence from 7 companies from 2016 to 2020. The largest total came from Janssen Pharmaceuticals, Inc.
How long has Dr. Nicolle Spence been practicing?
Dr. Spence graduated from medical school in 2011, 15 years ago.
What insurance does Dr. Nicolle Spence accept?
Dr. Spence is in network with 2 carriers, including Blue Cross Blue Shield of Michigan and CMS Medicare. HMO plans come from the most carriers, 1. Check the plan with the practice before a visit.
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