Jill Spencer, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2014013922 Issued in MO

Practice address

5330 N Oak Trfy
Suite 201
Kansas City, MO 64118-4699

Phone

(816) 454-0666

Fax

(816) 559-7118

NPI assigned

Apr 9, 2010

Last updated

May 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jill Wallace Former name

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Dermatology

Education

University of Missouri, Kansas City, School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Medical Specialists PAGroup PAC ID 7517867203, 13 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Midwest Medical Specialists PA

  • Dermatology Physician
  • Kansas City, MO
  • NPI 1043316250
  Medicare reassignment Care Compare group
• Midwest Medical Specialists PA

  • Dermatology Physician
  • Merriam, KS
  • NPI 1134225345
  NPD (past)

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1972829380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 N OAK TRFY",
            "address_2": "SUITE 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184699",
            "telephone_number": "816-454-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 N OAK TRFY",
            "address_2": "SUITE 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184699",
            "telephone_number": "816-454-0666",
            "fax_number": "816-559-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "JILL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-09",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2014013922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "WALLACE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charles Thomas Spencer III, MD
• Cynthia Spencer, LCSW
• Jacob Spencer, DMD, MS
• Jazmine Ayana Spencer, MSN, APRN, FNP-C
• Jeffrey Dean Spencer, DC
• Joy Spencer, LPC
• Kelly Lynn Spencer, LCSW
• Teresa Ann Spencer, PHARMD
• Rebekah Spengler, MD
• Aundria L Speropoulos, M.D.

• Dermatology Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.