MR. JEFFREY THOMAS SPENCER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1447210257

MR. JEFFREY THOMAS SPENCER (CRNA) is a healthcare provider. based in Yulee, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. ARNP9173128 (FL). The NPI Number for MR. JEFFREY THOMAS SPENCER (CRNA) is 1447210257

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
MR. JEFFREY THOMAS SPENCER (CRNA)
NPI
1447210257
Phone
(904) 307-5981
Address
86648 RIVERWOOD DR
Enumeration Date
24 March 2006
Last Update Date
11 July 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7277873000
Graduation Year
2004 (22 years ago)
PAC ID
4880648039
Group Practice PAC ID
3870813025
Professional Enrollment ID
I20050310000122
Address ID
FL337612046CL3280XRDXX503
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

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Provider Addresses for MR. JEFFREY THOMAS SPENCER (CRNA)

  • Riverwood Drive, Yulee, Nassau County, Florida, United States

    YULEE, FL 320976446

    Phone: (904) 307-5981

    Type: Mailing

  • 4800, Belfort Road, Jacksonville, Duval County, Florida, 32256, United States

    JACKSONVILLE, FL 322566004

    Phone: (904) 483-5850

    Fax: (904) 265-6409

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050310000122ICertified Registered Nurse Anesthetist (Crna)FLTBD
I20130812000755ICertified Registered Nurse Anesthetist (Crna)GATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32097)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870813025View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YOH
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNY
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL

Reviews

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Frequently asked questions

What unique ID ties claims to MR. JEFFREY THOMAS SPENCER (CRNA)?
NPI 1447210257 is assigned to MR. JEFFREY THOMAS SPENCER (CRNA) under the national enumeration system.
Is MR. JEFFREY THOMAS SPENCER (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MR. JEFFREY THOMAS SPENCER (CRNA) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for MR. JEFFREY THOMAS SPENCER (CRNA). Clinical services aligned with this taxonomy classification.
Does MR. JEFFREY THOMAS SPENCER (CRNA) practice in Florida?
You will see Yulee, Florida on file for MR. JEFFREY THOMAS SPENCER (CRNA) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.