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

MS. Jacquelyn Anne Spencer, NP

Individual provider Nurse Practitioner · NPI 1164614962

MS. Jacquelyn Anne Spencer, NP is a Nurse Practitioner in Syracuse, New York. Qualified in 2000, 26 years ago. Practices with Nephrology Associates of Syracuse, PC, a 13-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
26
Licensed in
NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1304 Buckley Rd Ste 200
Syracuse, NY 13212-4311
Phone: (315) 478-3311
Fax: (315) 476-5211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3031681 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence F3031681 (NY)

Record details

NPI number1164614962
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 15, 2007
Last updated in NPPESJanuary 23, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Nephrology Associates Of Syracuse, P.C. — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Syracuse