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

Spencer Oversen

Individual provider Physician Assistant · NPI 1063969947

Spencer Oversen is a Physician Assistant in Indianapolis, Indiana. Qualified in 2016, 10 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
10
Licensed in
IN
In the registry since
2016
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Practice location Address checks out

919 Camp St
Indianapolis, IN 46202-3051
Phone: (574) 536-7119
Show map & directions

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

Additional practice locations (2)

  • 1500 N Ritter Ave, Indianapolis, IN 46219-3027 — (317) 355-5457
  • 8402 Harcourt Rd Ste 125, Indianapolis, IN 46260-2094 — (317) 802-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10002116A (IN)

Record details

NPI number1063969947
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 8, 2016
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Indianapolis