LAURA SPRAGUE PMHNP
NPI 1174995054
Nurse Practitioner - Psychiatric/Mental Health in Middleburg Heights, OH

Active since October 30, 2015PECOS EnrolledAccepts Medicare Assignment
77.32/100
CMS Quality Rating
18697 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130(440) 816-8000 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laura Sprague Pmhnp NPPES

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

LAURA SPRAGUE PMHNP (NPI 1174995054) is an individual psychiatric/mental health provider in Middleburg Heights, Ohio, licensed in Ohio (COA.18229-NP) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cleveland, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1174995054
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLAURA SPRAGUECredential: PMHNP
Location Address18697 BAGLEY RDMiddleburg Heights, OH 44130-3417
Mailing Address18697 Bagley RdMiddleburg Heights, OH 44130-3417
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 30, 2015
Last NPPES UpdateFebruary 24, 2022
NPPES CertifiedFebruary 24, 2022
NPI 1174995054 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 OH · COA.18229-NP
18697 BAGLEY RD, Middleburg Heights, OH 44130

Secondary Practice Location 1

Location 17265 Old Oak BlvdCleveland, OH 44130-3342 · Phone (440) 816-5790

Accepted 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

Laura Sprague Pmhnp 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 ID6709188568
PECOS Enrollment IDI20160111001881
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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
31 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44130 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.

77.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.91
Promoting Interoperability100
Improvement Activities40
Cost63.49

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.

Psychiatry & Neurology (Psychiatry)
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Nurse Practitioner
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Physician Assistant
18697 BAGLEY RD
CLEVELAND, OH 44130
Anesthesiology
18697 BAGLEY RD
CLEVELAND, OH 44130
Physician Assistant (Medical)
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Pharmacist
18697 BAGLEY RD
CLEVELAND, OH 44130
Emergency Medicine
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Emergency Medicine
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130

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 Laura Sprague's NPI number?

The NPI number for Laura Sprague is 1174995054. It was assigned to this individual provider in the NPPES registry on October 30, 2015.

Where is Laura Sprague located?

Laura Sprague practices at 18697 Bagley Rd, Middleburg Heights, OH 44130. The listed phone number is (440) 816-8000.

What is Laura Sprague's specialty?

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

Is Laura Sprague enrolled in Medicare?

Yes. Laura Sprague 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 Laura Sprague accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 4 other insurers list Laura Sprague 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 Laura Sprague was last updated on February 24, 2022. 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.