Spencer Haire
Individual provider Active NPI Nurse Practitioner · Archer, FL
NPI 1750267233 · NPPES record last updated Oct 10, 2025
Key facts
- NPI
- 1750267233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APRN11041957 (FL)
- Practice address
- 16939 SW 134TH Ave
Archer, FL 32618-5413 - Phone
- (352) 265-2550
- NPI assigned
- Aug 12, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Florida College of Nursing Faculty Practice Associati
Practice addresses (Care Compare)
16939 SW 134TH Ave
Archer, FL 32618-5413
Phone (352) 265-2550
Hospital & facility affiliations
- Uf Health Shands Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251006000084 | FL | Practitioner - Nurse Practitioner | 4880190156 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11041957 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Current |
Accepting new patients | |
| Florida Clinical Practice Association Inc | Current |
Accepting new patients | |
| University of Florida College of Nursing Faculty Practice Associati | Family | Current |
Accepting new patients |
Locations
16939 SW 134th Ave
Archer, FL 32618
Phone (352) 265-2550
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11041957 | FL | |
| Nurse Practitioner | 363L00000X | APRN11041957 | FL | Yes |
Addresses
Primary practice location
16939 SW 134TH Ave
Archer, FL 32618-5413
Mailing address
12746 NW 173Rd LN
Alachua, FL 32615-4468
Phone (352) 538-6559
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128529700 | Medicaid | FL |
Other providers in Archer, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.