Individual provider Active NPI

Jennie Leclair Spencer, APRN, FNP-C

  • Family Medicine Physician
  • Sebring, FL
National Provider Identifier
1164189015
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11016772 Issued in FL
Practice address
810 N Ridgewood Dr
Sebring, FL 33870-7217
Phone
(863) 658-2611
Fax
(863) 658-2517
NPI assigned
Nov 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 11016772 FL Primary

Addresses

Primary practice location

810 N Ridgewood Dr
Sebring, FL 33870-7217

Mailing address

810 N Ridgewood Dr
Sebring, FL 33870-7217
Phone (863) 658-2611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220214001681 FL Practitioner - Nurse Practitioner 2264825355 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

810 N Ridgewood Dr
Sebring, FL 33870-7217
Phone (863) 658-2611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.5 of 100Reported as group
Quality
100
Promoting interoperability
95
Improvement activities
40
Cost
70.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11016772FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bluerock Medical LLC Multi-Specialty CurrentSince Jan 27, 2024 Accepting new patients
Treasure Coast Medical Associates Multi-Specialty CurrentSince Apr 15, 2024 Accepting new patients
Treasure Coast Medical Associates Multi-Specialty CurrentSince Apr 15, 2024 Accepting new patients

Locations

3405 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 692-8082

305 NE Park St
Okeechobee, FL 34972
Phone (772) 692-8082

7195 S George Blvd
Sebring, FL 33875
Phone (863) 451-5854

810 N Ridgewood Dr
Sebring, FL 33870
Phone (863) 658-2611

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JAHGDD/Endpoint/JAHGDD

Organizations & group practices 3

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": "1637798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1164189015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 N RIDGEWOOD DR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338707217",
            "telephone_number": "863-658-2611",
            "fax_number": "863-658-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N RIDGEWOOD DR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338707217",
            "telephone_number": "863-658-2611",
            "fax_number": "863-658-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "JENNIE",
        "middle_name": "LECLAIR",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-25",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11016772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.