SPENCER JACKSON OTR/L
NPI 1184381337
Occupational Therapist in Grand Rapids, MI
About Spencer Jackson Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPENCER JACKSON OTR/L (NPI 1184381337) is an individual occupational therapist in Grand Rapids, Michigan, licensed in Michigan (5201013949) and active in the NPI registry since November 2021. He is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Spencer Jackson Otr/l 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 Reassignments
2Medicare enrollment records show Spencer Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 209 clinicians in this Medicare group
Adrian, MI 49221
- Reassigned Medicare billing, Michigan enrollment
- 165 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.
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.
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 Jackson's NPI number?
The NPI number for Spencer Jackson is 1184381337. It was assigned to this individual provider in the NPPES registry on November 23, 2021.
Where is Spencer Jackson located?
Spencer Jackson practices at 6333 Kalamazoo Ave SE Ste 600, Grand Rapids, MI 49508. The listed phone number is (616) 649-1577.
What is Spencer Jackson's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Spencer Jackson enrolled in Medicare?
Yes. Spencer Jackson 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 organizations bill Medicare for Spencer Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Spencer Jackson reassigns Medicare benefits to 2 organizations: Mary Free Bed Rehabilitation Hospital (Grand Rapids, MI) and Athletico Ltd (Adrian, MI). Each 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 Spencer Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Spencer Jackson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Spencer Jackson 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 Spencer Jackson was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.