Individual provider Active NPI

Jeffrey Thomas Spencer, CRNA

  • Certified Registered Nurse Anesthetist
  • Jacksonville, FL
National Provider Identifier
1447210257
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9173128 Issued in FL
Practice address
4800 Belfort Rd
Jacksonville, FL 32256-6004
Phone
(904) 483-5850
Fax
(904) 265-6409
NPI assigned
Mar 24, 2006
Last updated
Jul 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9173128 FL Primary
Certified Registered Nurse Anesthetist 367500000X APRN231221 GA

Addresses

Primary practice location

4800 Belfort Rd
Jacksonville, FL 32256-6004

Mailing address

86648 Riverwood Dr
Yulee, FL 32097-6446
Phone (904) 307-5981

Other identifiers 2

IdentifierTypeStateIssuer
414335265AMedicaidGA
306738600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050310000122 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880648039 Reassigns benefits to 9 organizations
I20130812000755 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880648039 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians
Ams National LLCGroup PAC ID 3870813025, 310 clinicians

Practice addresses (Care Compare)

14000 Fivay Rd
Hudson, FL 34667-7103
Phone (727) 819-2929

3280 N McMullen Booth Rd
Suite 110
Clearwater, FL 33761-2046
Phone (727) 787-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP9173128FLMDCertified Registered Nurse Anesthetist
APRN231221GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 10, 2013 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
Southeast Georgia Anesthesia LLC CurrentSince Jan 28, 2017 Accepting new patients
Irwin County Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 7, 2017 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Oct 20, 2024 Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 8, 2024 Accepting new patients
Anesthesia Consultants PA CurrentSince Feb 1, 2017 Accepting new patients
Sunshine State Anesthesia Partners LLC CurrentSince Sep 11, 2021 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2014 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Oct 20, 2024 Accepting new patients
Amelia Anesthesia, PL CurrentSince Jan 27, 2014 Accepting new patients
Okefenokee Anesthesia Company LLC Nurse Anesthetist, Certified Registered CurrentSince May 31, 2017 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Jan 18, 2005 Accepting new patients
Institute for Corrective Surgery of the Foot & Ankle, Inc. CurrentSince Apr 1, 2017 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2023 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jan 18, 2005 Accepting new patients
Patriot Anesthesia LLC CurrentSince Apr 1, 2017 Accepting new patients
Ips of St Mary's LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations (25 of 28)

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

3280 N McMullen Booth Rd
Ste 110
Clearwater, FL 33761
Phone (727) 787-3000

1250 S 18th St
Fernandina Beach, FL 32034
Phone (904) 202-2087

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

7051 Southpoint Pkwy S
Jacksonville, FL 32216
Phone (904) 432-1521

7207 Golden Wings Rd
Ste 200
Jacksonville, FL 32244
Phone (904) 389-1014

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

11375 Cortez Blvd
#50
Spring Hill, FL 34613
Phone (352) 592-2753

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-0793

6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242

462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068

710 N Irwin Ave
Ocilla, GA 31774
Phone (229) 468-3800

1948 Old Ocilla Rd
Ste B
Tifton, GA 31794
Phone (229) 386-5222

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 21

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

View all 21

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1447210257",
    "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": "904-307-5981"
        },
        {
            "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": "JEFFREY",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9173128",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "APRN231221",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "414335265A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306738600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.