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JACKLYN ELAINE SPAGNOLETTI
NPI 1275189508
Nurse Practitioner in Liberty, KY

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: November 01, 2026.

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

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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Casey County Hospital District
1.2 mi
Rural Health
199 ADAMS ST
Liberty, KY 42539
  • Reassigned Medicare billing, Kentucky enrollment
  • 29 clinicians in this Medicare group
NPI 1679720114 (606) 787-5044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Quality30.6
Improvement Activities40
Cost27.35

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.

Which organization bills Medicare for Jacklyn Spagnoletti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacklyn Spagnoletti reassigns Medicare benefits to Casey County Hospital District (Liberty, KY). 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 Jacklyn Spagnoletti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacklyn Spagnoletti accept?

Health plans from Anthem Blue Cross and Blue Shield list Jacklyn Spagnoletti 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 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.