HEIDI ALAINE SPAITH FNP
NPI 1255858866
Nurse Practitioner - Family in Temple, TX

Active since August 24, 2017PECOS EnrolledAccepts Medicare Assignment
1901 VETERANS MEMORIAL DR, TEMPLE, TX 76504(254) 709-5585 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2023, Aug 24, 2017 (2 updates tracked since 2017).

About Heidi Alaine Spaith Fnp NPPES

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

HEIDI ALAINE SPAITH FNP (NPI 1255858866) is an individual family provider in Temple, Texas, licensed in Texas (AP134288) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Texarkana, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1255858866
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEIDI ALAINE SPAITHCredential: FNP
Location Address1901 VETERANS MEMORIAL DRTemple, TX 76504-7451
Mailing AddressPo Box 355Palestine, TX 75802-0355 · (903) 391-0494
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 24, 2017
Last NPPES UpdateApril 6, 20232 updates tracked since enumeration
NPPES CertifiedApril 6, 2023
NPI 1255858866 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
License Licensed in TX · AP134288
1901 VETERANS MEMORIAL DR, Temple, TX 76504

Secondary Practice Location 1

Location 15803 Stoneridge DrTexarkana, TX 75503-1461 · Phone (888) 725-5422 · Fax (903) 501-1100

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

Heidi Alaine Spaith Fnp 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 ID2264862887
PECOS Enrollment IDI20230518002365
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 5

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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
437 services32 patients
Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month 99427
Principal Care Management (PCM) services focus on managing a single high-risk disease. It involves additional 30 minutes of clinical staff time per month, overseen by a healthcare professional. This includes monitoring your health, coordinating care, and developing a personalized treatment plan.
323 services27 patients
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426
Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.
162 services27 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
12 services12 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76504 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

Social Worker
1901 VETERANS MEMORIAL DR, BLDG. 202
TEMPLE, TX 76504
Pharmacist
1901 VETERANS MEMORIAL DR
TEMPLE, TX 76504
Social Worker
1901 VETERANS MEMORIAL DR
TEMPLE, TX 76504
Social Worker (Clinical)
1901 VETERANS MEMORIAL DR
TEMPLE, TX 76504
Clinical Nurse Specialist (Gerontology)
1901 VETERANS MEMORIAL DR
TEMPLE, TX 76504
Nurse Practitioner (Psychiatric/Mental Health)
1901 VETERANS MEMORIAL DR
TEMPLE, TX 76504
Pharmacist
1901 VETERANS MEMORIAL DR
TEMPLE, TX 76504
Audiologist
1901 VETERANS MEMORIAL DR, AUDIOLOGY SECTION (112A)
TEMPLE, TX 76504

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 Heidi Spaith's NPI number?

The NPI number for Heidi Spaith is 1255858866. It was assigned to this individual provider in the NPPES registry on August 24, 2017.

Where is Heidi Spaith located?

Heidi Spaith practices at 1901 Veterans Memorial Dr, Temple, TX 76504. The listed phone number is (254) 709-5585.

What is Heidi Spaith's specialty?

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

Is Heidi Spaith enrolled in Medicare?

Yes. Heidi Spaith 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 Heidi Spaith accept?

Health plans from Blue Cross and Blue Shield of Texas list Heidi Spaith 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 Heidi Spaith was last updated on April 6, 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.