STEPHANIE HOWARD SPAULDING FNP-BC
NPI 1013434257
Nurse Practitioner - Family in Durham, NC

Q: What is Stephanie Spaulding's NPI number?

The NPI number for Stephanie Spaulding is 1013434257. It was assigned to this individual provider in the NPPES registry on August 28, 2017.

Q: What is Stephanie Spaulding's specialty?

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

Active since August 28, 2017PECOS EnrolledAccepts Medicare Assignment

40 DUKE MEDICAL CIR # 1J, DURHAM, NC 27710(919) 613-2243 Get Directions Write a Review

NPPES record last updated: September 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 28, 2018, Sep 19, 2018, Aug 28, 2017 (3 updates tracked since 2017).

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About Stephanie Howard Spaulding Fnp-bc NPPES

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

STEPHANIE HOWARD SPAULDING FNP-BC (NPI 1013434257) is an individual family provider in Durham, North Carolina, licensed in North Carolina (5009813) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1013434257

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTEPHANIE HOWARD SPAULDINGCredential: FNP-BC

Location Address40 DUKE MEDICAL CIR # 1JDurham, NC 27710-3006

Mailing AddressBox Dumc 2978 40 Duke Medicine Circle Clinic 1jDurham, NC 27710-0001

Phone(919) 613-2243

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 28, 2017

Last NPPES UpdateSeptember 28, 20183 updates tracked since enumeration

✔ NPI 1013434257 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 NC · 5009813

40 DUKE MEDICAL CIR # 1J, Durham, NC 27710

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Stephanie Howard Spaulding Fnp-bc 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 ID941562292

PECOS Enrollment IDI20180326001434

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 4

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.

131 services100 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

80 services63 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.

12 services12 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC

5/5 CMS rating

OwnershipProprietary

CMS Certification Number340030

Location2100 Erwin RdDurham, NC 27705 · Durham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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 Stephanie Spaulding's NPI number?

The NPI number for Stephanie Spaulding is 1013434257. It was assigned to this individual provider in the NPPES registry on August 28, 2017.

Where is Stephanie Spaulding located?

Stephanie Spaulding practices at 40 Duke Medical Cir # 1J, Durham, NC 27710. The listed phone number is (919) 613-2243.

What is Stephanie Spaulding's specialty?

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

Is Stephanie Spaulding enrolled in Medicare?

Yes. Stephanie Spaulding 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 Stephanie Spaulding accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Stephanie Spaulding 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 Stephanie Spaulding affiliated with any hospitals?

According to CMS data, Stephanie Spaulding is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Stephanie Spaulding was last updated on September 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.