Individual provider Active NPI

Sasha Marie Spencley, DO

  • Surgery Physician
  • Owosso, MI
National Provider Identifier
1427409762
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101026369 Issued in MI
Practice address
818 W King St Ste 201
Owosso, MI 48867-2117
Phone
(989) 723-3168
Fax
(989) 725-2962
NPI assigned
Jun 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101026369 MI Primary

Addresses

Primary practice location

818 W King St Ste 201
Owosso, MI 48867-2117

Mailing address

818 W King St Ste 201
Owosso, MI 48867-2117
Phone (989) 723-3168

Other identifiers 1

IdentifierTypeStateIssuer
1427409762MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20210722000573 MI Practitioner - General Surgery 7517251580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Michigan State University College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

818 W King St
201 MH Surgical and Wound
Owosso, MI 48867-2117
Phone (989) 723-3168

Hospital & facility affiliations

  • Memorial Healthcare Hospital, Owosso, MI, CCN 230121

Merit-based Incentive Payment System (MIPS)

Final score
82.58 of 100Reported as group
Quality
58.15
Promoting interoperability
100
Improvement activities
40
Cost
74.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Mastectomy13
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision18
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101026369MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Surgery CurrentSince Sep 1, 2021 Accepting new patients
Memorial Hospital Surgery Current Accepting new patients
Memorial Hospital CurrentSince Sep 1, 2021 Accepting new patients
Memorial Hospital Past Accepting new patients
Memorial Hospital Past Accepting new patients

Locations

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

218 W Main St
Ste 300
Flushing, MI 48433
Phone (989) 723-5211

818 W King St
Ste 201
Owosso, MI 48867
Phone (989) 723-3168

1975 W M 21
Ste 103
Owosso, MI 48867

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

Interoperability endpoints

  • Direct secure messaging: s.spencley@memorialhealthcare.midirect.net
  • Direct secure messaging: sspencley454143@direct.hfhs.org

Organizations & group practices 5

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": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1427409762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W KING ST STE 201",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672117",
            "telephone_number": "989-723-3168",
            "fax_number": "989-725-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W KING ST STE 201",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672117",
            "telephone_number": "989-723-3168",
            "fax_number": "989-725-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCLEY",
        "first_name": "SASHA",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101026369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427409762",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

Verify at the official NPI Registry.