KATELYN SPRUIELL
NPI 1235983206
Counselor - Professional in Jackson, MS

Active since April 15, 2024PECOS Enrolled
2500 N STATE ST, JACKSON, MS 39216(601) 984-1000 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Katelyn Spruiell NPPES

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

KATELYN SPRUIELL (NPI 1235983206) is an individual professional provider in Jackson, Mississippi, licensed in Mississippi (3456) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Flowood, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1235983206
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATELYN SPRUIELL
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address142 Planters RowMadison, MS 39110-7268 · (601) 813-6530
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 15, 2024
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
✔ NPI 1235983206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MS · 3456
2500 N STATE ST, Jackson, MS 39216

Secondary Practice Location 1

Location 110 Canebrake Blvd Ste 240Flowood, MS 39232-2212 · Phone (769) 230-4953

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelyn Spruiell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183181951
PECOS Enrollment IDI20260812000182
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 Reassignment

Medicare enrollment records show Katelyn Spruiell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Acute Care Hospital
2500 N STATE ST
Jackson, MS 39216
  • Reassigned Medicare billing, Mississippi enrollment
  • 1,932 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.

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 (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Dentist
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216

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 Katelyn Spruiell's NPI number?

The NPI number for Katelyn Spruiell is 1235983206. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Katelyn Spruiell located?

Katelyn Spruiell practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-1000.

What is Katelyn Spruiell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Katelyn Spruiell enrolled in Medicare?

Yes. Katelyn Spruiell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katelyn Spruiell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Spruiell reassigns Medicare benefits to State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS). The 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 Katelyn Spruiell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katelyn Spruiell accept?

Health plans from Molina Healthcare and Oscar Health Plan, Inc. list Katelyn Spruiell 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 Katelyn Spruiell was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.