Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164614962 Individual Practitioner Female Practitioner

Jacquelyn Anne Spencer , NP

Nurse Practitioner • Syracuse, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jacquelyn Spencer, NP is a certified Nurse Practitioner practicing in Syracuse, NY. With approximately 26 years of clinical experience since completing medical education in 2000, Jacquelyn Spencer delivers high-quality medical care to the local community at 1304 BUCKLEY ROAD.

Jacquelyn Spencer is affiliated with Nephrology Associates Of Syracuse, P.C. and accepts Medicare assignment.

Frequently performed procedures and clinical services include dialysis services, dialysis services, 2-3 physician visits per month (20 years or older), established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1304 Buckley Road
Suite 200

Syracuse, NY 132124311

Telephone 3154783311
Fax 3154765211
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Syracuse, NY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs +14.7 yrs vs City Avg
City Avg: 11.3 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
161 Specialists

Practicing in Syracuse, NY (3155 Statewide)

Telehealth Adoption Rate
12.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
46.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Spencer (26 Years) 26 Yrs
Syracuse Specialty Average (11.3 Years) 11.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)
26 19 $530.00 $283.38
90961 Dialysis services, 2-3 physician visits per month (20 years or older)
25 21 $447.00 $235.87

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NY 3031681

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License NY F3031681

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Nephrology Associates Of Syracuse, P.c.

1304 Buckley Rd, Syracuse, NY 132124317

Phone: 3154783311

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Dr. Gordana Obradovic , MD

Internal Medicine - Nephrology

NPI 1013176403

Doctor of Medicine (M.D.)

Dr. Simardeep Mangat , MD

Internal Medicine - Nephrology

NPI 1063518074

Doctor of Medicine (M.D.)

Dr. Kenneth Green , MD

Internal Medicine - Nephrology

NPI 1114909512

Doctor of Medicine (M.D.)

Dr. Richard Kopecky , MD

Internal Medicine - Nephrology

NPI 1134101066

Doctor of Medicine (M.D.)

Marcia Ryder , NP

Nurse Practitioner

NPI 1164405213

Nurse Practitioner

Dr. Robert Scheer , MD

Internal Medicine - Nephrology

NPI 1295717890

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 23, 2015

Registered at 1304 BUCKLEY ROAD, SUITE 200, SYRACUSE, NY 132124311 (Tel: 3154783311)

📍
Updated Business Mailing Address January 23, 2015

Registered at 1304 BUCKLEY RD, SUITE 200, SYRACUSE, NY 132124311 (Tel: 3154783311)

👤
Provider Name / Credentials Updated January 23, 2015

Recorded as JACQUELYN SPENCER, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2015

Nurse Practitioner (License #3031681 in NY)

🟢
Initial NPI Registration & Enumeration August 15, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jacquelyn Spencer. Be the first to share your experience!

Sign in to leave a review for Jacquelyn Spencer

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1164614962
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2007
Last Update: January 23, 2015
Sole Proprietor: No

Mailing Address

1304 Buckley Rd, Suite 200

Syracuse, NY 132124311

Phone: 3154783311

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.