Jeffrey Spencer, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

020896-1 Issued in NY

Practice address

123 Everett Rd
Albany, NY 12205-1407

Phone

(518) 701-2085

Fax

(518) 701-2139

NPI assigned

Jun 22, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, VT2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Albany ENT and Allergy Services PCGroup PAC ID 3678551736, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Peter'S Hospital Hospital, Albany, NY, CCN 330057
• Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/6f43d0e7-6ff2-489b-abdc-44e8a5e0ca0a/
• Direct secure messaging: jeffrey.spencer.d1.p1@direct.aent.nextgenshare.com

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.

• Albany ENT & Allergy Services PC

  • Otolaryngology Physician
  • Albany, NY
  • NPI 1205838729
  Medicare reassignment Care Compare group
• Samaritan Hospital of Troy, New York

  • General Acute Care Hospital
  • Troy, NY
  • NPI 1043267727

  Physician Assistant

  Medicare reassignment NPD
• Rutland Hospital, Inc

  • Emergency Medicine Physician
  • Rutland, VT
  • NPI 1194789941
  Medicare reassignment NPD
• Oldendorf Medical Services, PLLC

  • Internal Medicine Physician
  • Loudonville, NY
  • NPI 1518107069
  Medicare reassignment
• Wellnow Urgent Care, PC

  dba WellNow Urgent Care

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1669825162
  Medicare reassignment
• Mid Vermont Pathology PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Rutland, VT
  • NPI 1316085814
  NPD
• Rutland Hospital, Inc.

  dba Rutland Regional Medical Center

  • Specialist
  • Rutland, VT
  • NPI 1083678833
  NPD
• Rutland Hospital, Inc.

  • Specialist
  • Rutland, VT
  • NPI 1295799047
  NPD
• Rutland Hospital, Inc.

  • Psychiatric Hospital Unit
  • Rutland, VT
  • NPI 1467416206
  NPD
• Rutland Hospital, Inc.

  • Specialist
  • Rutland, VT
  • NPI 1578527578
  NPD
• Oldendorf Medical Services, PLLC

  • Internal Medicine Physician
  • Albany, NY
  • NPI 1912545344
  NPD (past)

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

• Samaritan Hospital of Troy, New York

  • General Acute Care Hospital
  • Troy, NY
  • NPI 1043267727
  Care Compare affiliation
• St. Peter'S Hospital of the City of Albany

  • General Acute Care Hospital
  • Albany, NY
  • NPI 1497701106
  Care Compare affiliation

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1568982353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051407",
            "telephone_number": "518-701-2085",
            "fax_number": "518-701-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051407",
            "telephone_number": "518-701-2085",
            "fax_number": "518-701-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "JEFFREY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020896-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleigh Patricia Spellman, PA-C
• Maxwell A Spence
• Nicola A Spence, FNP-BC
• Spencer Medical Solutions LLC
• Anna Pierson Spencer, LCSW
• Mary Ann Spencer, SLP
• Nancy Lynn Spencer, NP
• Robbin M Spencer, AGPCNP-BC
• Susan Spencer, NPP
• Rebecca Dash Sperber, PA-C

• Physician Assistant in Albany, NY
• Providers in Albany, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.