STEPHANIE LEE SPAIN CRNP
NPI 1235166240
Nurse Practitioner in Birmingham, AL

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233(205) 934-6600 Get Directions Write a Review

NPPES record last updated: January 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stephanie Lee Spain Crnp NPPES

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

STEPHANIE LEE SPAIN CRNP (NPI 1235166240) is an individual nurse practitioner in Birmingham, Alabama, licensed in Alabama (1-074535) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1235166240
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSTEPHANIE LEE SPAINCredential: CRNP
Location Address619 19TH STREET SOUTHBirmingham, AL 35233
Mailing AddressPo Box 55310Birmingham, AL 35255-5310 · (205) 731-9701
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 26, 2006
Last NPPES UpdateJanuary 14, 2024
NPPES CertifiedJanuary 14, 2024
NPI 1235166240 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 AL · 1-074535
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.
619 19TH STREET SOUTH, Birmingham, AL 35233

Other Names 1

Former Name (1)Stephanie L Guthrie

Other Identifiers 3

OtherP00229662AL · Railroad Medicare
Other051519478AL · Blue Cross
Medicaid891007310AL

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

Stephanie Lee Spain Crnp 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 ID6901792746
PECOS Enrollment IDI20040226001084
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 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.
183 services155 patients
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.
61 services55 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.
60 services51 patients
Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator 95970
This procedure involves using electronic devices to analyze the function of a neurostimulator - a device implanted in your brain, spinal cord, or peripheral nerves. It helps monitor and adjust the device's settings for optimal performance and patient comfort.
41 services36 patients
Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, each additional 15 minutes with qualified health professional 95984
This procedure involves the evaluation of implanted neurostimulators in the brain, spinal cord, or peripheral nerves. It includes programming adjustments to optimize its function. A qualified health professional performs this every additional 15 minutes to ensure proper functioning.
36 services15 patients
Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional 95983
This procedure involves a medical professional using electronic equipment to analyze and adjust your implanted neurostimulator, which helps manage nerve activity in your brain, spinal cord, or peripheral nerves. The process typically takes 15 minutes.
31 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 3

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers18 claims72 services$18.49 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
2 suppliers23 claims644 services$35.96 avg. paid by Medicare
Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml J7340
DME-Drugs Administered Through DME · category DG000N
2 suppliers22 claims616 services$167.81 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.

Psychiatry & Neurology (Psychiatry)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Social Worker (Clinical)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Neurological Surgery
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Radiology (Diagnostic Radiology)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Psychiatry & Neurology (Neurology)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Internal Medicine (Geriatric Medicine)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Internal Medicine
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Anesthesiology
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233

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 Stephanie Spain's NPI number?

The NPI number for Stephanie Spain is 1235166240. It was assigned to this individual provider in the NPPES registry on June 26, 2006. The provider is also known as Stephanie L Guthrie.

Where is Stephanie Spain located?

Stephanie Spain practices at 619 19th Street South, Birmingham, AL 35233. The listed phone number is (205) 934-6600.

What is Stephanie Spain's specialty?

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

Is Stephanie Spain enrolled in Medicare?

Yes. Stephanie Spain 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 Stephanie Spain accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Stephanie Spain 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 Stephanie Spain was last updated on January 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.