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MEGAN SPOLTMAN FNP
NPI 1164950697
Nurse Practitioner - Family in Hilliard, OH

Active since May 29, 2017PECOS Enrolled
95.31/100
CMS Quality Rating
4110 RAILTON ST, HILLIARD, OH 43026(937) 638-3021 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 12, 2026, Jan 12, 2026, Jun 16, 2025 and 2 more (5 updates tracked since 2017).

About Megan Spoltman Fnp NPPES

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

MEGAN SPOLTMAN FNP (NPI 1164950697) is an individual family provider in Hilliard, Ohio, licensed in Ohio (APRN.CNP.020956) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and maintains 22 additional practice locations.

NPPES Registry Identity

NPI1164950697
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMEGAN SPOLTMANCredential: FNP
Location Address4110 RAILTON STHilliard, OH 43026-1906
Mailing Address700 Childrens DrColumbus, OH 43205-2664 · (614) 722-2000
Phone(937) 638-3021
Sole ProprietorNo
Enumeration DateMay 29, 2017
Last NPPES UpdateMarch 12, 20265 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1164950697 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 OH · APRN.CNP.020956
4110 RAILTON ST, Hilliard, OH 43026
Open in Google Maps ↗

Secondary Practice Locations 22

Location 12857 W Broad StColumbus, OH 43204-2643 · Phone (614) 722-2000
Location 24766 W Broad StColumbus, OH 43228-1613 · Phone (614) 722-2000
Location 31390 Cleveland AveColumbus, OH 43211-2767 · Phone (614) 722-2000
Location 41125 E Main StColumbus, OH 43205-1931 · Phone (614) 722-2000
Location 53553 Cleveland AveColumbus, OH 43224-2909 · Phone (614) 722-2000
Location 64560 Morse Centre RdColumbus, OH 43229-6602 · Phone (614) 722-2000
Location 75070 N High StColumbus, OH 43214-1526 · Phone (614) 722-2000
Location 81777 E Dublin Granville RdColumbus, OH 43229-3502 · Phone (614) 722-2000
Location 91405 S High StColumbus, OH 43207-1043 · Phone (614) 722-2000
Location 10433 N Cleveland AveWesterville, OH 43082-8095 · Phone (614) 722-2000
Location 111657 Georgesville Square DrColumbus, OH 43228-3689 · Phone (614) 722-2000
Location 12882 S Hamilton RdColumbus, OH 43213-3003 · Phone (614) 722-2000
Location 1326 Hospital DrAthens, OH 45701-2471 · Phone (614) 722-2000
Location 146435 E Broad StColumbus, OH 43213-1507 · Phone (614) 722-2000 · Fax (614) 722-3369
Location 154439 State Route 159Chillicothe, OH 45601-8207 · Phone (614) 722-2000 · Fax (614) 722-3369
Location 16740 Adair AveZanesville, OH 43701-2838 · Phone (614) 722-2000 · Fax (614) 722-3369
Location 175665 Venture DrDublin, OH 43017-2159 · Phone (614) 722-2000 · Fax (614) 722-3369
Location 187853 Pacer DrDelaware, OH 43015-7571 · Phone (614) 722-2000 · Fax (614) 722-3369
Location 19700 Childrens DrColumbus, OH 43205-2664 · Phone (614) 722-2000 · Fax (614) 722-3369
Location 20536 S Trimble RdMansfield, OH 44906-3418 · Phone (614) 722-2000 · Fax (614) 722-3369
Location 21380 Butterfly Gardens DrColumbus, OH 43215-7508 · Phone (614) 722-2000
Location 222599 S Hamilton RdColumbus, OH 43232-4964 · Phone (614) 722-2000

Other Identifiers 1

Medicaid0235831OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Megan Spoltman Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Megan Spoltman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nationwide Children's Hospital
10 mi
Multi-Specialty
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 976 clinicians in this Medicare group
NPI 1851179873 (614) 722-2055
Pediatric Academic Association, Inc.
10 mi
Pediatrics
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 1,246 clinicians in this Medicare group
NPI 1063419943 (614) 722-4579

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 43026 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

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 Megan Spoltman's NPI number?

The NPI number for Megan Spoltman is 1164950697. It was assigned to this individual provider in the NPPES registry on May 29, 2017.

Where is Megan Spoltman located?

Megan Spoltman practices at 4110 Railton St, Hilliard, OH 43026. The listed phone number is (937) 638-3021.

What is Megan Spoltman's specialty?

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

Is Megan Spoltman enrolled in Medicare?

Yes. Megan Spoltman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Megan Spoltman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Spoltman reassigns Medicare benefits to 2 organizations: Nationwide Children's Hospital (Columbus, OH) and Pediatric Academic Association, Inc. (Columbus, OH). Each 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 Megan Spoltman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Spoltman accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, Molina Healthcare and UnitedHealthcare list Megan Spoltman 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 Megan Spoltman was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.