WHITNEY DAWN SPEAR BRANSTETTER DNP
NPI 1003312075
Nurse Practitioner - Family in Louisville, KY

Active since March 30, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
210 E GRAY ST STE 605, LOUISVILLE, KY 40202(502) 559-3636(502) 629-5442 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 22, 2023, Dec 21, 2021, Oct 27, 2020 and 3 more (6 updates tracked since 2018).

About Whitney Dawn Spear Branstetter Dnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITNEY DAWN SPEAR BRANSTETTER DNP (NPI 1003312075) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3012223) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of University Of Kentucky College Of Medicine (2017).

NPPES Registry Identity

NPI1003312075
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameWHITNEY DAWN SPEAR BRANSTETTERCredential: DNP
Location Address210 E GRAY ST STE 605Louisville, KY 40202-3900
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5339
Fax(502) 629-5442
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2017
Enumeration DateMarch 30, 2018
Last NPPES UpdateFebruary 22, 20236 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
NPI 1003312075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 3012223
210 E GRAY ST STE 605, Louisville, KY 40202

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Whitney Dawn Spear Branstetter Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729342514
PECOS Enrollment IDI20180502001621
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
258 services184 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
143 services121 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
58 services49 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
41 services33 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
38 services35 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
34 suppliers78 claims357 services$5.63 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
5 suppliers13 claims3,110 services$6.92 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
11 suppliers116 claims119 services$182.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Pediatric Endocrinology)
210 E GRAY ST STE 605
LOUISVILLE, KY 40202
Internal Medicine (Endocrinology, Diabetes & Metabolism)
210 E GRAY ST STE 605
LOUISVILLE, KY 40202
Internal Medicine (Endocrinology, Diabetes & Metabolism)
210 E GRAY ST STE 605
LOUISVILLE, KY 40202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Whitney Spear Branstetter's NPI number?

The NPI number for Whitney Spear Branstetter is 1003312075. It was assigned to this individual provider in the NPPES registry on March 30, 2018.

Where is Whitney Spear Branstetter located?

Whitney Spear Branstetter practices at 210 E Gray St Ste 605, Louisville, KY 40202. The listed phone number is (502) 559-3636.

What is Whitney Spear Branstetter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Whitney Spear Branstetter enrolled in Medicare?

Yes. Whitney Spear Branstetter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Whitney Spear Branstetter accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Whitney Spear Branstetter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Whitney Spear Branstetter affiliated with any hospitals?

According to CMS data, Whitney Spear Branstetter is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Whitney Spear Branstetter was last updated on February 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.