Individual provider Active NPI

Spencer Ashcraft, DO

  • Emergency Medicine Physician
  • Fairbanks, AK
National Provider Identifier
1053940155
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
203367 Issued in AK
Practice address
1650 Cowles St
Fairbanks, AK 99701-5907
Phone
(855) 571-2841
NPI assigned
Apr 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 203367 AK Primary

Addresses

Primary practice location

1650 Cowles St
Fairbanks, AK 99701-5907

Mailing address

401 Matthew St
Ferguson Building
Marietta, OH 45750

Other practice location 1

401 Matthew St
Ferguson Building
Marietta, OH 45750
Phone (740) 568-5669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231204002574 AK Practitioner - Emergency Medicine 5395193106 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ketchikan Emergency Physicians, LLCGroup PAC ID 8820500135, 13 clinicians

Practice addresses (Care Compare)

3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 225-5171

Hospital & facility affiliations

  • Peacehealth Ketchikan Medical Center Hospital, Ketchikan, AK, CCN 021311

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
89.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
203367AKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Heart Emergency Physicians, Inc. Emergency Medicine CurrentSince Oct 22, 2023 Accepting new patients
Ketchikan Emergency Physicians, LLC Emergency Medicine CurrentSince May 15, 2025 Accepting new patients

Locations

1650 Cowles St
Fairbanks, AK 99701
Phone (907) 452-8181

3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104

Interoperability endpoints

  • Direct secure messaging: sashcraft774429@direct.peacehealth.org

Organizations & group practices 2

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

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1053940155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MATTHEW ST",
            "address_2": "FERGUSON BUILDING",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "45750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COWLES ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015907",
            "telephone_number": "855-571-2841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Matthew St",
            "address_2": "Ferguson Building",
            "address_purpose": "LOCATION",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "45750",
            "country_code": "US",
            "telephone_number": "740-568-5669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASHCRAFT",
        "first_name": "SPENCER",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-02",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AK",
            "license": "203367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.