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

Spencer Alan Rutz

Individual provider Registered Nurse · NPI 1902665730

Spencer Alan Rutz is a Certified Registered Nurse Anesthetist (CRNA) in Buffalo, New York. Graduated from State University of New York at Buffalo School of Medicine in 2024, 2 years ago. Practices with Great Lakes Anesthesiology PC, a 90-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NY
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

2950 Elmwood Ave
Buffalo, NY 14217-1304
Phone: (716) 323-6570
Fax: (716) 323-6658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 818 Ellicott St, Buffalo, NY 14203-1021 — (716) 323-6570

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 766675 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 766675 (NY)

Record details

NPI number1902665730
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 14, 2024
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Great Lakes Anesthesiology Pc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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