Spencer Justin Blakely, CAA
NPI 1134082803ActiveIndividual· Anesthesiologist Assistant· Muncie, IN
Anesthesiologist Assistant (CAA) with Iu Health Medical Group LLC, practicing in Muncie, Indiana. Enrolled in Medicare as practitioner - anesthesiology assistant. Lists Indiana University Health Ball Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1134082803 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CAA |
| Sole proprietor | No |
| NPI issued | Dec 8, 2025 |
| Last updated in NPPES | Jan 6, 2026 |
| Certified by provider | Jan 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | 75000236A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology Assistant (IN) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Anesthesiology Assistant |
Medical group
- Iu Health Medical Group LLCIndianapolis, IN · 4,462 clinicians
Hospital affiliation
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