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KELLIE RICHELLE SPARKS APRN
NPI 1083062988
Nurse Practitioner - Family in Grayson, KY

Active since June 01, 2016Opted out of Medicare · through Oct 1, 2028
535 E MAIN ST, GRAYSON, KY 41143(606) 369-6218(606) 217-6087 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 10, 2026, Apr 14, 2022, Oct 26, 2018 and 3 more (6 updates tracked since 2017).

About Kellie Richelle Sparks Aprn NPPES

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

KELLIE RICHELLE SPARKS APRN (NPI 1083062988) is an individual family provider in Grayson, Kentucky, licensed in Kentucky (3010258) and active in the NPI registry since June 2016. She has opted out of Medicare through October 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1083062988
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLIE RICHELLE SPARKSCredential: APRN
Location Address535 E MAIN STGrayson, KY 41143-1444
Mailing Address535 E Main StGrayson, KY 41143-1444 · (606) 369-6218 · Fax (606) 217-6087
Phone(606) 369-6218
Fax(606) 217-6087
Sole ProprietorYes
Enumeration DateJune 1, 2016
Last NPPES UpdateAugust 10, 20266 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1083062988 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 · 3010258
535 E MAIN ST, Grayson, KY 41143
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Other Identifiers 2

Medicaid7100419400KY
Medicaid0170248OH

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kellie Richelle Sparks Aprn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2026 through October 1, 2028.

Opt-Out Effective DateOctober 1, 2026
Opt-Out In Effect ThroughOctober 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims

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.

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.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41143 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.

Other Providers at the Same Location NPPES

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

NIKKI LYNN MOORE APRN
Nurse Practitioner (Family)
535 E MAIN ST
GRAYSON, KY 41143
Carter County (606) 314-0053

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 Kellie Sparks's NPI number?

The NPI number for Kellie Sparks is 1083062988. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Where is Kellie Sparks located?

Kellie Sparks practices at 535 E Main St, Grayson, KY 41143. The listed phone number is (606) 369-6218.

What is Kellie Sparks's specialty?

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

Is Kellie Sparks enrolled in Medicare?

No. Kellie Sparks has opted out of Medicare through October 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Kellie Sparks accept?

Health plans from Anthem Blue Cross and Blue Shield list Kellie Sparks 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 Kellie Sparks was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.