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FRANCES SPARKS APRN
NPI 1255056370
Nurse Practitioner in Louisville, KY

Active since October 11, 2022PECOS EnrolledAccepts Medicare Assignment
2831 S HURSTBOURNE PKWY STE B, LOUISVILLE, KY 40220(502) 491-6963(502) 491-8398 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2024, Jul 9, 2024, Oct 11, 2022 (3 updates tracked since 2022).

About Frances Sparks Aprn NPPES

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

FRANCES SPARKS APRN (NPI 1255056370) is an individual nurse practitioner in Louisville, Kentucky, licensed in Kentucky (3018473) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1255056370
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameFRANCES SPARKSCredential: APRN
Location Address2831 S HURSTBOURNE PKWY STE BLouisville, KY 40220-4112
Mailing Address2831 S Hurstbourne Pkwy Ste BLouisville, KY 40220-4112 · (502) 491-6963 · Fax (502) 491-8398
Phone(502) 491-6963
Fax(502) 491-8398
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 11, 2022
Last NPPES UpdateAugust 14, 20243 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
✔ NPI 1255056370 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 KY · 3018473
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.
2831 S HURSTBOURNE PKWY STE B, Louisville, KY 40220
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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

Frances Sparks Aprn 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 ID6103140710
PECOS Enrollment IDI20240806000846
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 2

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 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.
53 services39 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.
53 services31 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40220 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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 Frances Sparks's NPI number?

The NPI number for Frances Sparks is 1255056370. It was assigned to this individual provider in the NPPES registry on October 11, 2022.

Where is Frances Sparks located?

Frances Sparks practices at 2831 S Hurstbourne Pkwy Ste B, Louisville, KY 40220. The listed phone number is (502) 491-6963.

What is Frances Sparks's specialty?

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

Is Frances Sparks enrolled in Medicare?

Yes. Frances Sparks 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 Frances Sparks accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Frances Sparks 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 Frances Sparks affiliated with any hospitals?

According to CMS data, Frances Sparks is affiliated with Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Frances Sparks was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.