1. Home
  2. Directory
  3. Ohio
  4. Gallipolis
  5. Nurse Practitioner
  6. NPI Profile

SPENCER KISSEL
NPI 1013499029
Nurse Practitioner - Psychiatric/Mental Health in Gallipolis, OH

Active since September 06, 2018PECOS EnrolledAccepts Medicare Assignment
28.55/100
CMS Quality Rating
1284 STATE ROUTE 160, GALLIPOLIS, OH 45631(912) 409-8533 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 19, 2021, Sep 6, 2018 (2 updates tracked since 2018).

About Spencer Kissel NPPES

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

SPENCER KISSEL (NPI 1013499029) is an individual psychiatric/mental health provider in Gallipolis, Ohio, licensed in West Virginia (APRN88700-PMHNP-BC) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS, is affiliated with Genesis Medical Center-davenport, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1013499029
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameSPENCER KISSEL
Location Address1284 STATE ROUTE 160Gallipolis, OH 45631
Mailing Address1401 W Central Park AveDavenport, IA 52804-1707 · (563) 421-1785
Phone(912) 409-8533
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 6, 2018
Last NPPES UpdateApril 19, 20212 updates tracked since enumeration
NPPES CertifiedApril 19, 2021
✔ NPI 1013499029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WV · APRN88700-PMHNP-BC
1284 STATE ROUTE 160, Gallipolis, OH 45631
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, UnitedHealthcare.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

Spencer Kissel 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 ID4880948140
PECOS Enrollment IDI20200218001918
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
172 services46 patients
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.
84 services45 patients
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.
34 services25 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
27 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services22 patients
Telehealth originating site facility fee Q3014
The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

Genesis Medical Center-Davenport

Acute Care Hospitals · Davenport, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160033
Location1227 East Rusholme StreetDavenport, IA 52803 · Scott County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45631 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

28.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality21.38
Improvement Activities0
Cost55.97

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Mark ***** June 25, 2024

5/5
Spencer is the best provider that I have ever seen. He was the only one to get my medications correct and that took me about 35 years to find someone like him.
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

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 Spencer Kissel's NPI number?

The NPI number for Spencer Kissel is 1013499029. It was assigned to this individual provider in the NPPES registry on September 6, 2018.

Where is Spencer Kissel located?

Spencer Kissel practices at 1284 State Route 160, Gallipolis, OH 45631. The listed phone number is (912) 409-8533.

What is Spencer Kissel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Spencer Kissel enrolled in Medicare?

Yes. Spencer Kissel 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 Spencer Kissel accept?

Health plans from Oscar Insurance Company and UnitedHealthcare list Spencer Kissel 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 Spencer Kissel affiliated with any hospitals?

According to CMS data, Spencer Kissel is affiliated with Genesis Medical Center-Davenport.

When was this NPI record last updated?

The NPPES record for Spencer Kissel was last updated on April 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.