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

Spencer Blondeaux

Individual provider Physician Assistant · NPI 1114645249

Spencer Blondeaux is a Physician Assistant in Bridgeton, Missouri. Graduated from University of Washington School of Medicine in 2023, 3 years ago. Practices with Mercy Clinic East Communities, a 573-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
3
Trained at
University of Washington School of Medicine
In the registry since
2022

Practice location Address checks out

12409 Saint Charles Rock Rd
Bridgeton, MO 63044-2507
Phone: (636) 429-0999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1114645249
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 15, 2022
Last updated in NPPESJune 19, 2024
Certification dateJuly 28, 2023
Mailing address5219 Wilson Ave, Saint Louis, MO 63110-3137

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Mercy Clinic East Communities — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Bridgeton