JACKLYN ELAINE SPAGNOLETTI
NPI 1275189508
Nurse Practitioner in Liberty, KY

Q: What is Jacklyn Spagnoletti's NPI number?

The NPI number for Jacklyn Spagnoletti is 1275189508. It was assigned to this individual provider in the NPPES registry on August 13, 2019.

Q: What is Jacklyn Spagnoletti's specialty?

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

Active since August 13, 2019PECOS EnrolledAccepts Medicare Assignment

45.03/100

CMS Quality Rating

CASEY COUNTY PRIMARY CARE, 187 WOLFORD AVENUE, LIBERTY, KY 42539(606) 787-8348(606) 787-0251 Get Directions Write a Review

NPPES record last updated: March 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2020, Feb 26, 2020, Aug 13, 2019 (3 updates tracked since 2019).

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About Jacklyn Elaine Spagnoletti NPPES

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

JACKLYN ELAINE SPAGNOLETTI (NPI 1275189508) is an individual nurse practitioner in Liberty, Kentucky, licensed in Kentucky (3013711) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Casey County Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1275189508

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJACKLYN ELAINE SPAGNOLETTI

Location AddressCASEY COUNTY PRIMARY CARE, 187 WOLFORD AVENUELiberty, KY 42539-3278

Mailing Address187 Wolford AveLiberty, KY 42539-3278 · (606) 787-6275 · Fax (606) 787-0251

Phone(606) 787-8348

Fax(606) 787-0251

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 13, 2019

Last NPPES UpdateMarch 20, 20203 updates tracked since enumeration

NPPES CertifiedMarch 20, 2020

✔ NPI 1275189508 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 · 3013711

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.

CASEY COUNTY PRIMARY CARE, Liberty, KY 42539

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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

Jacklyn Elaine Spagnoletti 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 ID2961832118

PECOS Enrollment IDI20200430002651

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.

Hospital Affiliations CMS Care Compare

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

Casey County Hospital

Critical Access Hospitals · Liberty, KY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number181309

Location187 Wolford AvenueLiberty, KY 42539 · Casey County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42539 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

45.03/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

30.6

Improvement Activities

Cost

27.35

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers16 claims16 services$19.91 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$7.34 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers16 claims16 services$111.82 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Jacklyn Spagnoletti's NPI number?

The NPI number for Jacklyn Spagnoletti is 1275189508. It was assigned to this individual provider in the NPPES registry on August 13, 2019.

Where is Jacklyn Spagnoletti located?

Jacklyn Spagnoletti practices at Casey County Primary Care 187 Wolford Avenue, Liberty, KY 42539. The listed phone number is (606) 787-8348.

What is Jacklyn Spagnoletti's specialty?

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

Is Jacklyn Spagnoletti enrolled in Medicare?

Yes. Jacklyn Spagnoletti 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.

Is Jacklyn Spagnoletti affiliated with any hospitals?

According to CMS data, Jacklyn Spagnoletti is affiliated with Casey County Hospital.

When was this NPI record last updated?

The NPPES record for Jacklyn Spagnoletti was last updated on March 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.