SHEYLAN SPENCER
NPI 1154909745
Family Medicine in Lexington, KY
About Sheylan Spencer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHEYLAN SPENCER (NPI 1154909745) is an individual family medicine provider in Lexington, Kentucky, licensed in West Virginia (4848) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains a secondary practice location in Charleston.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sheylan Spencer 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.
Medicare Billing Reassignment
Medicare enrollment records show Sheylan Spencer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charleston, WV 25301
- Reassigned Medicare billing, West Virginia enrollment
- 1,511 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Charleston Area Medical Center
Acute Care Hospitals · Charleston, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40536 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LEXINGTON, KY 40536
LEXINGTON, KY 40536
LEXINGTON, KY 40536
LEXINGTON, KY 40536
LEXINGTON, KY 40536
LEXINGTON, KY 40536
LEXINGTON, KY 40536
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 Sheylan Spencer's NPI number?
The NPI number for Sheylan Spencer is 1154909745. It was assigned to this individual provider in the NPPES registry on April 1, 2021.
Where is Sheylan Spencer located?
Sheylan Spencer practices at 900 S Limestone Ctw 304, Lexington, KY 40536. The listed phone number is (859) 323-2834.
What is Sheylan Spencer's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sheylan Spencer enrolled in Medicare?
Yes. Sheylan 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.
Which organization bills Medicare for Sheylan Spencer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sheylan Spencer reassigns Medicare benefits to Charleston Area Medical Center, Inc. (Charleston, WV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sheylan Spencer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sheylan Spencer accept?
Health plans from Highmark Blue Cross Blue Shield West Virginia list Sheylan 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.
Is Sheylan Spencer affiliated with any hospitals?
According to CMS data, Sheylan Spencer is affiliated with Charleston Area Medical Center.
When was this NPI record last updated?
The NPPES record for Sheylan Spencer was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.