Individual provider Active NPI

Jamie Spencer, PA

  • Physician Assistant
  • Redford, MI
National Provider Identifier
1023609419
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.007300RX Issued in OH
Practice address
14671 Telegraph Rd
Redford, MI 48239-3300
Phone
(313) 948-3055
Fax
(313) 948-3041
NPI assigned
Jan 29, 2021
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601010320 MI
Physician Assistant 363A00000X 50.007300RX OH Primary

Addresses

Primary practice location

14671 Telegraph Rd
Redford, MI 48239-3300

Mailing address

2200 Jefferson Ave
Toledo, OH 43604-7101
Phone (419) 251-1400

Other practice location 1

3000 Arlington Ave Ste 2C
Toledo, OH 43614-2595
Phone (419) 383-3759

Other practice location 2

2200 Jefferson Ave
Toledo, OH 43604-7101
Phone (419) 251-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220511002173 OH Practitioner - Physician Assistant 6103230149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2200 Jefferson Ave
Toledo, OH 43604-7101
Phone (419) 251-1400

3000 Arlington Ave
Toledo, OH 43614-2595
Phone (419) 383-3578

3333 Glendale Ave
Toledo, OH 43614-2426
Phone (419) 383-5550

3355 Glendale Ave
Toledo, OH 43614-2426
Phone (419) 383-5614

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.34 of 100Reported as group
Quality
69.17
Promoting interoperability
99
Improvement activities
40
Cost
75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.007300RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Mar 2, 2026 Accepting new patients
Mercy Health Physicians North Specialty Care LLC Physician Assistant CurrentSince Mar 2, 2026 Accepting new patients
University of Toledo Physicians LLC CurrentSince Apr 19, 2022 Accepting new patients
University of Toledo Physicians LLC Physician Assistant CurrentSince Apr 19, 2022 Accepting new patients
Farmington Hills Urgent Care Walk-in Clinic PC PastSince Jul 31, 2022 Accepting new patients
Mercy Health - St Vincent Medical Center LLC Past Accepting new patients

Locations

L4189
Columbus, OH 43260

2200 Jefferson Ave
Toledo, OH 43604
Phone (419) 241-1400

2213 Franklin Ave
Fl 2
Toledo, OH 43620
Phone (419) 251-2360

3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556

3000 Arlington Ave
#1094
Toledo, OH 43614
Phone (419) 383-3761

3000 Arlington Ave
Ste 2C
Toledo, OH 43614
Phone (419) 383-3759

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1023609419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047101",
            "telephone_number": "419-251-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14671 TELEGRAPH RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393300",
            "telephone_number": "313-948-3055",
            "fax_number": "313-948-3041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Arlington Ave Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436142595",
            "country_code": "US",
            "telephone_number": "419-383-3759",
            "fax_number": "419-383-2962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436047101",
            "country_code": "US",
            "telephone_number": "419-251-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "JAMIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010320",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007300RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redford, MI

Sources for this page

Verify at the official NPI Registry.