Active NPI
Ashley A Spencer, ARNP
- Anesthesiologist Assistant
- Jacksonville, FL
National Provider Identifier
1407129117
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Nov 20, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- APRN9262984
- Practice address
- 4800 Belfort Rd
Jacksonville, FL 32256-6004 - Phone
- (904) 483-5850
- Fax
- (904) 265-6409
- NPI assigned
- Feb 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9262984 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN231039 | GA | |
| Anesthesiologist Assistant | 367H00000X | APRN9262984 | FL | Primary |
Addresses
Primary practice location
4800 Belfort Rd
Jacksonville, FL 32256-6004
Mailing address
86648 Riverwood Dr
Yulee, FL 32097-6446
Phone (904) 563-4228
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004614200 | Medicaid | FL | |
| G00X2 | Other | FL | BLUE SHIELD |
Other names 1
- Ms. Ashley A Flood
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN231039 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ips of St Mary'S LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Kingsland, GA
- NPI 1033342456
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1407129117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86648 RIVERWOOD DR",
"city": "YULEE",
"state": "FL",
"postal_code": "320976446",
"telephone_number": "904-563-4228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 BELFORT RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566004",
"telephone_number": "904-483-5850",
"fax_number": "904-265-6409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "ASHLEY",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-13",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9262984",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "APRN231039",
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "FL",
"license": "APRN9262984",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004614200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "G00X2",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "FLOOD",
"middle_name": "A",
"prefix": "MS.",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.