MARY ELLEN SPENCER PA-C
NPI 1124619283
Physician Assistant - Medical in Portland, OR
About Mary Ellen Spencer Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY ELLEN SPENCER PA-C (NPI 1124619283) is an individual medical provider in Portland, Oregon, licensed in Oregon (PA217576) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Ellen Spencer Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Spencer's NPI number?
The NPI number for Mary Spencer is 1124619283. It was assigned to this individual provider in the NPPES registry on February 1, 2021.
Where is Mary Spencer located?
Mary Spencer practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 418-4500.
What is Mary Spencer's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Mary Spencer enrolled in Medicare?
Yes. Mary Spencer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Mary Spencer accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Mary Spencer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mary Spencer was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mary Ellen Spencer, PA-C · NPI 1124619283
Medical physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since February 1, 2021.
## Identity
- **NPI:** 1124619283 (Entity type: Individual)
- **Enumerated:** February 1, 2021
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA217576 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3011
- **Phone:** (503) 418-4500 · **Fax:** (503) 494-1678
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** April 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1124619283) · Data from the CMS NPPES public registry.