Jennifer Marie Sponaugle, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA3627 Issued in KY

Practice address

800 Rose St Roach Cancer Ctr 1St FL
Lexington, KY 40536-2100

Phone

(859) 257-6006

Fax

(859) 257-6002

NPI assigned

May 27, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Jennifer Traylor Former name

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of KentuckyGroup PAC ID 3072425289, 778 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Kentucky Hospital Hospital, Lexington, KY, CCN 180067

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• University of Kentucky

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1770771974
  Medicare reassignment Care Compare group NPD
• University of Kentucky

  • Psychiatric Hospital Unit
  • Lexington, KY
  • NPI 1821130741
  NPD (past)
• Maecenas Health Systems PC

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1003155607
  NPD (past)

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

• University of Kentucky

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1518911338
  Care Compare affiliation

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1497167373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6071W OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352624",
            "telephone_number": "313-966-1003",
            "fax_number": "313-966-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST ROACH CANCER CTR 1ST FL",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405362100",
            "telephone_number": "859-257-6006",
            "fax_number": "859-257-6002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17320 W 12 Mile Rd",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480762100",
            "country_code": "US",
            "telephone_number": "248-864-8912",
            "fax_number": "248-809-3550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPONAUGLE",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA3627",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007029",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "PA3627",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA3627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "TRAYLOR",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mabel Spio, MD
• Natasha Layne Spires
• Susan E Spires, MD
• Delanie June Spivey
• Julie K Spivey, PHARMD
• Kimberly Ann Sporing, HAIR STYLIST
• Cassidy Ann Spradlin
• Jennifer Lenn Spradlin, APSS
• Rebecca Claire Spradlin
• Sierra Sprankle, CSW

• Physician Assistant in Lexington, KY
• Providers in Lexington, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.