ERIC EUGENE SPOHN
NPI 1104580711
Nurse Practitioner - Psychiatric/Mental Health in Plymouth, IN

Q: What is Eric Spohn's NPI number?

The NPI number for Eric Spohn is 1104580711. It was assigned to this individual provider in the NPPES registry on October 29, 2021.

Q: What is Eric Spohn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Eric Spohn was last updated on October 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 29, 2021PECOS EnrolledAccepts Medicare Assignment

990 ILLINOIS ST, PLYMOUTH, IN 46563(574) 936-9646 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Eric Eugene Spohn NPPES

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

ERIC EUGENE SPOHN (NPI 1104580711) is an individual psychiatric/mental health provider in Plymouth, Indiana, licensed in Indiana (71011771A) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104580711

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameERIC EUGENE SPOHN

Location Address990 ILLINOIS STPlymouth, IN 46563-3622

Mailing Address10176 Heather Lake DrOsceola, IN 46561-8897 · (574) 855-7789

Phone(574) 936-9646

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 29, 2021

NPPES CertifiedOctober 20, 2021

✔ NPI 1104580711 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 IN · 71011771A

990 ILLINOIS ST, Plymouth, IN 46563

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Eric Eugene Spohn 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 ID8022407774

PECOS Enrollment IDI20211118000331

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

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.

75 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46563 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 20

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

BRITTANY RUDE MSW

Counselor (Mental Health)