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

Spencer Justin Blakely, CAA

Individual provider Anesthesiologist Assistant · NPI 1134082803

Spencer Justin Blakely, CAA is an Anesthesiology Assistant in Muncie, Indiana. Qualified in 2025, 1 year ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
1
Licensed in
IN
In the registry since
2025

Practice location Address checks out

2401 W University Ave
Muncie, IN 47303-3428
Phone: (765) 747-3111
Show map & directions

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

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 75000236A (IN)

Record details

NPI number1134082803
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorNo
NPI enumeratedDecember 8, 2025
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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