Individual provider Active NPI

Haley Spencer

  • Physician Assistant
  • Searcy, AR
National Provider Identifier
1194281188
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-967 Issued in AR
Practice address
2902 E Race Ave
Searcy, AR 72143-4806
Phone
(501) 278-2800
NPI assigned
Feb 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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
Physician Assistant 363A00000X PA-967 AR Primary

Addresses

Primary practice location

2902 E Race Ave
Searcy, AR 72143-4806

Mailing address

138 Field Crest Dr
Searcy, AR 72143-8427
Phone (703) 895-2548

Other identifiers 1

IdentifierTypeStateIssuer
262465795MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20210311000408 AR Practitioner - Physician Assistant 0941616213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
White County Medical CenterGroup PAC ID 4880688654, 182 clinicians

Practice addresses (Care Compare)

2505 W Beebe Expressway
Suite 101
Searcy, AR 72143-4802
Phone (501) 278-2800

2900 Hawkins Dr
Searcy, AR 72143-4802
Phone (501) 278-2800

3214 E Race Ave
Searcy, AR 72143-4810

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA-967ARMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group Current Accepting new patients
White County Medical Center CurrentSince Mar 8, 2021 Accepting new patients
White County Medical Center CurrentSince Mar 8, 2021 Accepting new patients
White County Medical Center Past Accepting new patients

Locations

2902 E Race Ave
Searcy, AR 72143
Phone (501) 236-0225

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

Organizations & group practices 4

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1194281188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 FIELD CREST DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721438427",
            "telephone_number": "703-895-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 E RACE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434806",
            "telephone_number": "501-278-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "HALEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2021-03-29",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262465795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.