CAROLE LYNNE SPICKERMAN NP-C
NPI 1225293673
Nurse Practitioner - Family in Iron Mountain, MI

Active since July 25, 2008PECOS EnrolledAccepts Medicare Assignment
1721 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801(906) 776-5975 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 19, 2021, Nov 7, 2019 (2 updates tracked since 2019).

About Carole Lynne Spickerman Np-c NPPES

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

CAROLE LYNNE SPICKERMAN NP-C (NPI 1225293673) is an individual family provider in Iron Mountain, Michigan, licensed in Michigan (4704215494) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Uphs Marquette Dlp Hospital, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1225293673
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROLE LYNNE SPICKERMANCredential: NP-C
Location Address1721 S STEPHENSON AVEIron Mountain, MI 49801-3637
Mailing Address1721 S Stephenson AveIron Mountain, MI 49801-3637 · (906) 776-5975
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 25, 2008
Last NPPES UpdateJune 30, 20232 updates tracked since enumeration
NPPES CertifiedJune 30, 2023
✔ NPI 1225293673 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
Licenses✔ Licensed in MI · 4704215494✔ Licensed in OR · 10009312
1721 S STEPHENSON AVE, Iron Mountain, MI 49801

Secondary Practice Location 1

Location 13303 S Bond AvePortland, OR 97239-4501 · Phone (503) 494-6594 · Fax (503) 494-5385

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carole Lynne Spickerman Np-c 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 ID7214004241
PECOS Enrollment IDI20080917000382
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

4

Medicare enrollment records show Carole Spickerman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
800 EAST BLVD
Kingsford, MI 49802
  • Reassigned Medicare billing, Michigan enrollment
  • 440 clinicians in this Medicare group
Family Medicine
3409 LUDINGTON ST
Escanaba, MI 49829
  • Reassigned Medicare billing, Michigan enrollment
  • 118 clinicians in this Medicare group
Critical Access
7870W US HIGHWAY 2
Manistique, MI 49854
  • Reassigned Medicare billing, Michigan enrollment
  • 78 clinicians in this Medicare group
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Michigan enrollment
  • 38 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
120 services52 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.
67 services58 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.
19 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Uphs Marquette Dlp Hospital

Acute Care Hospitals · Marquette, MI
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230054
Location850 W Baraga AveMarquette, MI 49855 · Marquette County
Emergency services Birthing friendly

Schoolcraft Memorial Hospital

Critical Access Hospitals · Manistique, MI
OwnershipGovernment - Local
CMS Certification Number231303
Location7870W Us Highway 2Manistique, MI 49854 · Schoolcraft County
Emergency services

Helen Newberry Joy Hospital

Critical Access Hospitals · Newberry, MI
OwnershipGovernment - Local
CMS Certification Number231304
Location502 W Harrie StNewberry, MI 49868 · Luce County
Emergency services

Osf St Francis Hospital And Medical Group

Critical Access Hospitals · Escanaba, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number231337
Location3401 Ludington StEscanaba, MI 49829 · Delta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49801 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers16 claims16 services$30.47 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier16 claims16 services$43.81 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 20

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

Nurse Anesthetist, Certified Registered
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Nurse Practitioner
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Physician Assistant
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Radiology (Diagnostic Radiology)
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Nurse Anesthetist, Certified Registered
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Radiology (Diagnostic Radiology)
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Radiology (Diagnostic Radiology)
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Radiology (Diagnostic Radiology)
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801

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 Carole Spickerman's NPI number?

The NPI number for Carole Spickerman is 1225293673. It was assigned to this individual provider in the NPPES registry on July 25, 2008.

Where is Carole Spickerman located?

Carole Spickerman practices at 1721 S Stephenson Ave, Iron Mountain, MI 49801. The listed phone number is (906) 776-5975.

What is Carole Spickerman's specialty?

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

Is Carole Spickerman enrolled in Medicare?

Yes. Carole Spickerman 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.

Which organizations bill Medicare for Carole Spickerman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carole Spickerman reassigns Medicare benefits to 4 organizations: Dlp Marquette Physician Practices Inc (Kingsford, MI), St. Francis Hospital (Escanaba, MI), Schoolcraft Memorial Hospital (Manistique, MI) and Osf Multi-Specialty Group (Peoria, IL). 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 Carole Spickerman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carole Spickerman accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Carole Spickerman 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 Carole Spickerman affiliated with any hospitals?

According to CMS data, Carole Spickerman is affiliated with Uphs Marquette Dlp Hospital, Schoolcraft Memorial Hospital, Helen Newberry Joy Hospital and Osf St Francis Hospital And Medical Group.

When was this NPI record last updated?

The NPPES record for Carole Spickerman was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.