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SPENCER JUSTIN BLAKELY CAA
NPI 1134082803
Anesthesiologist Assistant in Muncie, IN

Active since December 08, 2025Accepts Medicare Assignment
2401 W UNIVERSITY AVE, MUNCIE, IN 47303(765) 747-3111 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2026, Dec 8, 2025 (2 updates tracked since 2025).

About Spencer Justin Blakely Caa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPENCER JUSTIN BLAKELY CAA (NPI 1134082803) is an individual anesthesiologist assistant in Muncie, Indiana, licensed in Indiana (75000236A) and active in the NPI registry since December 2025. He is affiliated with Indiana University Health Ball Memorial Hospital and is a graduate of Other (2025).

NPPES Registry Identity

NPI1134082803
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameSPENCER JUSTIN BLAKELYCredential: CAA
Location Address2401 W UNIVERSITY AVEMuncie, IN 47303-3428
Mailing Address2401 W University AveMuncie, IN 47303-3428
Phone(765) 747-3111
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 8, 2025
Last NPPES UpdateJanuary 6, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1134082803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in IN · 75000236A
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
2401 W UNIVERSITY AVE, Muncie, IN 47303
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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

Spencer Justin Blakely Caa 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.

PECOS PAC ID5294211132
PECOS Enrollment IDI20260112000089

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

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.

HEALTH CARE CONNECTIONS, INC.
Radiology (Diagnostic Radiology)
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Delaware County (765) 747-3111
MILISSA A ELEY MD
Family Medicine
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Delaware County (765) 702-2790
AMBER DAWN ACKERMAN NP
Nurse Practitioner (Acute Care)
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Delaware County (765) 747-3111
SABRINA E CHILDERS PA-C
Physician Assistant (Medical)
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Delaware County (765) 747-3111
PATRICK DOUGLAS ROBBINS OTR/L
Occupational Therapist
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Delaware County (765) 747-3111
CALE JEFFREY MELHAM
Student in an Organized Health Care Education/Training Program
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Delaware County (765) 741-1095
DR. MUHAMMAD HAMZA WAHEED MD
Student in an Organized Health Care Education/Training Program
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Delaware County (765) 747-3367
DR. R. SCOTT HUBBARD M.D.
Pathology (Clinical Pathology)
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Delaware County (765) 747-3517

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 Spencer Blakely's NPI number?

The NPI number for Spencer Blakely is 1134082803. It was assigned to this individual provider in the NPPES registry on December 8, 2025.

Where is Spencer Blakely located?

Spencer Blakely practices at 2401 W University Ave, Muncie, IN 47303. The listed phone number is (765) 747-3111.

What is Spencer Blakely's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Spencer Blakely enrolled in Medicare?

Yes. Spencer Blakely 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.

Is Spencer Blakely affiliated with any hospitals?

According to CMS data, Spencer Blakely is affiliated with Indiana University Health Ball Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Spencer Blakely was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.