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RACHEL SPARINGA
NPI 1134552482
Nurse Practitioner - Family in Jefferson Hills, PA

Active since August 09, 2013PECOS EnrolledAccepts Medicare Assignment
565 COAL VALLEY RD, JEFFERSON HILLS, PA 15025(412) 469-5959 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rachel Sparinga NPPES

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

RACHEL SPARINGA (NPI 1134552482) is an individual family provider in Jefferson Hills, Pennsylvania, licensed in Pennsylvania (SP012932) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mt Pleasant, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1134552482
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHEL SPARINGA
Location Address565 COAL VALLEY RDJefferson Hills, PA 15025-3703
Mailing Address565 Coal Valley RdJefferson Hills, PA 15025-3703
Phone(412) 469-5959
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 9, 2013
Last NPPES UpdateSeptember 19, 2024
NPPES CertifiedSeptember 19, 2024
✔ NPI 1134552482 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 PA · SP012932
565 COAL VALLEY RD, Jefferson Hills, PA 15025
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Secondary Practice Location 1

Location 16396 Route 819 SMT Pleasant, PA 15666-3670 · Phone (724) 547-3627

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

Rachel Sparinga 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 ID3577797620
PECOS Enrollment IDI20131004000050
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 5

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
75 services70 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
24 services12 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
19 services18 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
18 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15025 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

ALYSSA L BERNSTEIN NP
Nurse Practitioner
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (860) 395-7848
JEFFERSON REGIONAL MEDICAL CENTER
Rehabilitation Unit
565 COAL VALLEY RD
CLAIRTON, PA 15025
Allegheny County (412) 469-5000
MRS. VICTORIA L RILEY CRNA
Nurse Anesthetist, Certified Registered
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (412) 469-5000
EMILY PAIGE MCDOWELL CRNA
Nurse Anesthetist, Certified Registered
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (412) 469-5000
SANGEETA LAKSHMI KOMERALLY M.D
Hospitalist
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (412) 267-6810
ADAM A BARONE CRNA
Nurse Anesthetist, Certified Registered
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (412) 469-5000
MICHAEL BRADLEY SMALL DO
Hospitalist
565 COAL VALLEY RD
CLAIRTON, PA 15025
Allegheny County (412) 267-6810
MS. NICOLE MARIE DE GORTARI CRNA
Nurse Anesthetist, Certified Registered
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (412) 469-5000

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 Rachel Sparinga's NPI number?

The NPI number for Rachel Sparinga is 1134552482. It was assigned to this individual provider in the NPPES registry on August 9, 2013.

Where is Rachel Sparinga located?

Rachel Sparinga practices at 565 Coal Valley Rd, Jefferson Hills, PA 15025. The listed phone number is (412) 469-5959.

What is Rachel Sparinga's specialty?

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

Is Rachel Sparinga enrolled in Medicare?

Yes. Rachel Sparinga 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.

When was this NPI record last updated?

The NPPES record for Rachel Sparinga was last updated on September 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.