MS. JACQUELYN ANNE SPENCER N.P.
NPI 1164614962
Nurse Practitioner in Syracuse, NY

Active since August 15, 2007PECOS EnrolledAccepts Medicare Assignment
1304 BUCKLEY ROAD, SUITE 200, SYRACUSE, NY 13212(315) 478-3311(315) 476-5211 Get Directions Write a Review

NPPES record last updated: January 23, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Jacquelyn Anne Spencer N.p. NPPES

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

MS. JACQUELYN ANNE SPENCER N.P. (NPI 1164614962) is an individual nurse practitioner in Syracuse, New York, licensed in New York (3031681) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1164614962
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. JACQUELYN ANNE SPENCERCredential: N.P.
Location Address1304 BUCKLEY ROAD, SUITE 200Syracuse, NY 13212-4311
Mailing Address1304 Buckley Rd, Suite 200Syracuse, NY 13212-4311 · (315) 478-3311 · Fax (315) 476-5211
Fax(315) 476-5211
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 15, 2007
Last NPPES UpdateJanuary 23, 2015
NPI 1164614962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in NY · 3031681 Licensed in NY · F3031681
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1304 BUCKLEY ROAD, Syracuse, NY 13212

Other Identifiers 2

Medicare PIN34567ANY
Medicare PIN34567A

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

Ms. Jacquelyn Anne Spencer N.p. 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 ID7810065604
PECOS Enrollment IDI20081007000234
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
26 services19 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
25 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
1304 BUCKLEY ROAD, SUITE 200
SYRACUSE, NY 13212
Internal Medicine (Nephrology)
1304 BUCKLEY ROAD
SYRACUSE, NY 13212
Physician Assistant (Medical)
1304 BUCKLEY ROAD, SUITE 302
SYRACUSE, NY 13212

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 Jacquelyn Spencer's NPI number?

The NPI number for Jacquelyn Spencer is 1164614962. It was assigned to this individual provider in the NPPES registry on August 15, 2007.

Where is Jacquelyn Spencer located?

Jacquelyn Spencer practices at 1304 Buckley Road Suite 200, Syracuse, NY 13212. The listed phone number is (315) 478-3311.

What is Jacquelyn Spencer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jacquelyn Spencer enrolled in Medicare?

Yes. Jacquelyn 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.

When was this NPI record last updated?

The NPPES record for Jacquelyn Spencer was last updated on January 23, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.