ALYSSA MARIE SPENCER PA, AT
NPI 1881192565
Physician Assistant in Dayton, OH

Q: What is Alyssa Spencer's NPI number?

The NPI number for Alyssa Spencer is 1881192565. It was assigned to this individual provider in the NPPES registry on January 26, 2018.

Q: What is Alyssa Spencer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Spencer was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since January 26, 2018PECOS EnrolledAccepts Medicare Assignment

3205 WOODMAN DR, DAYTON, OH 45420(937) 298-4417(937) 298-8260 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2025, Nov 7, 2022, Apr 25, 2022 and 2 more (5 updates tracked since 2022).

On this page

About Alyssa Marie Spencer Pa, At NPPES

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

ALYSSA MARIE SPENCER PA, AT (NPI 1881192565) is an individual physician assistant in Dayton, Ohio, licensed in Ohio (50.007371RX) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1881192565

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameALYSSA MARIE SPENCERCredential: PA, AT

Location Address3205 WOODMAN DRDayton, OH 45420-1143

Mailing Address6480 Harrison Ave Ste 201Cincinnati, OH 45247-7961 · (513) 713-1779 · Fax (513) 854-9921

Phone(937) 298-4417

Fax(937) 298-8260

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 26, 2018

Last NPPES UpdateJune 26, 20255 updates tracked since enumeration

NPPES CertifiedJune 26, 2025

✔ NPI 1881192565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OH · 50.007371RX

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X

3205 WOODMAN DR, Dayton, OH 45420

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Secondary Practice Locations 2

Location 14403 Far Hills AveKettering, OH 45429-2405 · Phone (937) 395-3920 · Fax (937) 298-8260

Location 270 Weller DrTipp City, OH 45371-3306 · Phone (937) 669-0909 · Fax (937) 669-4050

Other Identifiers 1

Medicaid0476832OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance.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

Alyssa Marie Spencer Pa, At 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 ID9739573049

PECOS Enrollment IDI20220303000196

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.

Hospital Affiliations CMS Care Compare 2

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360051

LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County

Emergency services Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360239

Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45420 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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 20

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

MRS. AMY ELISHA BERNARD ATC, NASM-PES

Specialist/Technologist (Athletic Trainer)

3205 WOODMAN DR
KETTERING, OH 45420

Montgomery County (937) 531-6785

PAUL ANTHONY NITZ MD

Orthopaedic Surgery