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JULIE A SPINA MD
NPI 1194747758
Family Medicine in Pelican Rapids, MN

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
82.99/100
CMS Quality Rating
211 E MILL ST, PELICAN RAPIDS, MN 56572(218) 863-6100(218) 863-6173 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Julie A Spina Md NPPES

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

JULIE A SPINA MD (NPI 1194747758) is an individual family medicine provider in Pelican Rapids, Minnesota, licensed in Minnesota (34786) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of Ohio State University College Of Medicine (1990).

NPPES Registry Identity

NPI1194747758
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJULIE A SPINACredential: MD
Location Address211 E MILL STPelican Rapids, MN 56572
Mailing Address211 E Mill St, Po Box 737Pelican Rapids, MN 56572 · (218) 863-6100 · Fax (218) 863-6173
Phone(218) 863-6100
Fax(218) 863-6173
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1990
Enumeration DateJuly 24, 2006
Last NPPES UpdateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
✔ NPI 1194747758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 34786
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
211 E MILL ST, Pelican Rapids, MN 56572
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan 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

Julie A Spina Md 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 ID2860467495
PECOS Enrollment IDI20040827000728, I20200422003047
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 3

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.
204 services142 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.
114 services114 patients
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.
102 services82 patients

Hospital Affiliations CMS Care Compare

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

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56572 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers40 claims99 services$5.73 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims14 services$0.81 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers34 claims34 services$86.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

SANFORD MEDICAL CENTER FARGO
Clinic/Center (Rural Health)
211 E MILL ST
PELICAN RAPIDS, MN 56572
Otter Tail County (218) 863-6100
MR. JOSEPH ALLEN MOHR PA-C
Physician Assistant (Medical)
211 E MILL ST, BOX 737
PELICAN RAPIDS, MN 56572
Otter Tail County (218) 863-6100
SELECT PHYSICAL THERAPY HOLDINGS INC
Clinic/Center (Physical Therapy)
211 E MILL ST
PELICAN RAPIDS, MN 56572
Otter Tail County (218) 863-1140
DANELLE H KOSCIARZ OTR/L
Occupational Therapist
211 E MILL ST
PELICAN RAPIDS, MN 56572
Otter Tail County (218) 863-1140
AMANDA CAROL HOUGHTALING FNP
Nurse Practitioner (Family)
211 E MILL ST
PELICAN RAPIDS, MN 56572
Otter Tail County (218) 863-6100
TIFFANY NELSON
Physical Therapy Assistant
211 E MILL ST
PELICAN RAPIDS, MN 56572
Otter Tail County (218) 286-1140
EMILY KALINA NP
Nurse Practitioner (Family)
211 E MILL ST
PELICAN RAPIDS, MN 56572
Otter Tail County (218) 863-6100
STACY J ZIMNEY PA-C
Physician Assistant
211 E MILL ST
PELICAN RAPIDS, MN 56572
Otter Tail County (218) 863-6100

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 Julie Spina's NPI number?

The NPI number for Julie Spina is 1194747758. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Julie Spina located?

Julie Spina practices at 211 E Mill St, Pelican Rapids, MN 56572. The listed phone number is (218) 863-6100.

What is Julie Spina's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Julie Spina enrolled in Medicare?

Yes. Julie Spina 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 Julie Spina accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and Security Health Plan list Julie Spina 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 Julie Spina affiliated with any hospitals?

According to CMS data, Julie Spina is affiliated with Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Julie Spina was last updated on March 29, 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.