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ERIKA Q ESPINDLE FNP
NPI 1154678233
Nurse Practitioner in Fall River, MA

Active since August 08, 2012PECOS EnrolledAccepts Medicare Assignment
1030 PRESIDENT AVE, STE 1004, FALL RIVER, MA 02720(508) 973-9600(508) 973-9605 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 6, 2024, Apr 21, 2020 (2 updates tracked since 2020).

About Erika Q Espindle Fnp NPPES

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

ERIKA Q ESPINDLE FNP (NPI 1154678233) is an individual nurse practitioner in Fall River, Massachusetts, licensed in Massachusetts (RN2270618) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1154678233
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameERIKA Q ESPINDLECredential: FNP
Location Address1030 PRESIDENT AVE, STE 1004Fall River, MA 02720-5923
Mailing Address200 Mill Rd, Ste 180Fairhaven, MA 02719-5252 · (508) 973-2000 · Fax (508) 973-2001
Phone(508) 973-9600
Fax(508) 973-9605
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 8, 2012
Last NPPES UpdateSeptember 6, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2024
✔ NPI 1154678233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · RN2270618
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1030 PRESIDENT AVE, Fall River, MA 02720
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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

✔

Enrolled in Medicare and accepts Medicare assignment

Erika Q Espindle Fnp 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 ID7012168644
PECOS Enrollment IDI20121108000107
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.

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.
134 services110 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.
83 services69 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
40 services40 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
33 services31 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
26 services25 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
21 services19 patients

Hospital Affiliations CMS Care Compare

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

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02720 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

DR. LESLIE E STERN M.D.
Neurological Surgery
1030 PRESIDENT AVE, SUITE 306
FALL RIVER, MA 02720
Bristol County (508) 235-6395
KELBY MAHER D.O.
Pediatrics
1030 PRESIDENT AVE
FALL RIVER, MA 02720
Bristol County (508) 679-6833
TERENCE J MCGOVERN MD
Internal Medicine (Critical Care Medicine)
1030 PRESIDENT AVE, SUITE 210
FALL RIVER, MA 02720
Bristol County (508) 973-1780
REGINA SINGLETON N.P.
Nurse Practitioner (Adult Health)
1030 PRESIDENT AVE, SUITE 304
FALL RIVER, MA 02720
Bristol County (508) 235-6222
MARGARET TANG LEE MD
Obstetrics & Gynecology
1030 PRESIDENT AVE
FALL RIVER, MA 02720
Bristol County (508) 676-3411
LAUREL A GAY P.A.
Physician Assistant
1030 PRESIDENT AVE, SUITE 3001
FALL RIVER, MA 02720
Bristol County (508) 676-3411
DR. NICK MUCCIARDI MD
Internal Medicine (Pulmonary Disease)
1030 PRESIDENT AVE, SUITE 210
FALL RIVER, MA 02720
Bristol County (508) 973-1780
DR. HENRY R VAILLANCOURT MD
Family Medicine
1030 PRESIDENT AVE, SUITE 104 SOUTHCOAST PHYSICIAN SERVICES INC
FALL RIVER, MA 02720
Bristol County (508) 676-3411

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 Erika Espindle's NPI number?

The NPI number for Erika Espindle is 1154678233. It was assigned to this individual provider in the NPPES registry on August 8, 2012.

Where is Erika Espindle located?

Erika Espindle practices at 1030 President Ave Ste 1004, Fall River, MA 02720. The listed phone number is (508) 973-9600.

What is Erika Espindle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Erika Espindle enrolled in Medicare?

Yes. Erika Espindle 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 Erika Espindle accept?

Health plans from Anthem Blue Cross and Blue Shield list Erika Espindle 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 Erika Espindle affiliated with any hospitals?

According to CMS data, Erika Espindle is affiliated with Southcoast Hospitals Group.

When was this NPI record last updated?

The NPPES record for Erika Espindle was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.