Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaci Spencer, PA-C

Individual provider Surgical Physician Assistant · NPI 1982063624

Kaci Spencer, PA-C is a Physician Assistant in Saint Louis, Missouri. Graduated from Saint Louis University School of Medicine in 2015, 11 years ago. Practices with Deaconess Illinois Specialty Clinic, Inc, a 139-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
11
Trained at
Saint Louis University School of Medicine
Licensed in
IL, MO
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3655 Vista Ave
Saint Louis, MO 63110-2539
Phone: (314) 577-8350
Fax: (314) 268-5410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085006714 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 2016004102 (MO)

Record details

NPI number1982063624
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 22, 2016
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Deaconess Illinois Specialty Clinic, Inc. — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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