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SHELBY SPENGLER
NPI 1043876063
Social Worker - Clinical in Niagara Falls, NY

Active since May 15, 2019PECOS EnrolledAccepts Medicare Assignment
2400 PINE AVE, NIAGARA FALLS, NY 14301(716) 505-1060 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shelby Spengler NPPES

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

SHELBY SPENGLER (NPI 1043876063) is an individual clinical provider in Niagara Falls, New York, licensed in New York (097014) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1043876063
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHELBY SPENGLER
Location Address2400 PINE AVENiagara Falls, NY 14301-2402
Mailing Address55 Dodge RdGetzville, NY 14068-1205 · (716) 831-2700 · Fax (716) 831-1818
Phone(716) 505-1060
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 15, 2019
Last NPPES UpdateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
✔ NPI 1043876063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 097014
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2400 PINE AVE, Niagara Falls, NY 14301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shelby Spengler 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 ID446695639
PECOS Enrollment IDI20240227003858
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.

Medicare Billing Reassignment

Medicare enrollment records show Shelby Spengler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Horizon Health Services Inc
13 mi
Community/Behavioral Health
55 DODGE RD
Getzville, NY 14068
  • Reassigned Medicare billing, New York enrollment
  • 170 clinicians in this Medicare group
NPI 1043387152 (716) 831-2700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14301 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
$0.00 typical visit price
range $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

EMILY SCHWARTZ
Optometrist
2400 PINE AVE
NIAGARA FALLS, NY 14301
Niagara County (716) 282-1114
RACHEL KOCUR
Social Worker (Clinical)
2400 PINE AVE
NIAGARA FALLS, NY 14301
Niagara County (716) 505-1060
NICOLE LV ANTONACCI
Counselor (Mental Health)
2400 PINE AVE
NIAGARA FALLS, NY 14301
Niagara County (716) 505-1060
MS. ANNE-MARIE KRISTINE PRIOLA MSW
Counselor
2400 PINE AVE
NIAGARA FALLS, NY 14301
Niagara County (716) 505-1060
EMILY CLAUDIA LEWICKI
Counselor
2400 PINE AVE
NIAGARA FALLS, NY 14301
Niagara County (716) 505-1060
ALAINA LYNN FEES CASAC-T, CRPA
Peer Specialist
2400 PINE AVE
NIAGARA FALLS, NY 14301
Niagara County (716) 505-1060
LAQUESHA PEARLIE PATTERSON MFT
Marriage & Family Therapist
2400 PINE AVE
NIAGARA FALLS, NY 14301
Niagara County (716) 505-1060
KAMARIA RILEY
Case Manager/Care Coordinator
2400 PINE AVE
NIAGARA FALLS, NY 14301
Niagara County (716) 505-1060

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 Shelby Spengler's NPI number?

The NPI number for Shelby Spengler is 1043876063. It was assigned to this individual provider in the NPPES registry on May 15, 2019.

Where is Shelby Spengler located?

Shelby Spengler practices at 2400 Pine Ave, Niagara Falls, NY 14301. The listed phone number is (716) 505-1060.

What is Shelby Spengler's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shelby Spengler enrolled in Medicare?

Yes. Shelby Spengler 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.

Which organization bills Medicare for Shelby Spengler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Spengler reassigns Medicare benefits to Horizon Health Services Inc (Getzville, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shelby Spengler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelby Spengler accept?

Health plans from Blue Cross and Blue Shield of Texas list Shelby Spengler 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.

When was this NPI record last updated?

The NPPES record for Shelby Spengler was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.