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SHARON L SPEAR NP
NPI 1285074088
Nurse Practitioner - Adult Health in Fort Wayne, IN

Active since June 26, 2013PECOS EnrolledAccepts Medicare Assignment
80.87/100
CMS Quality Rating
5010 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 436-1248(260) 436-7968 Get Directions Write a Review

NPPES record last updated: June 26, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sharon L Spear Np NPPES

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

SHARON L SPEAR NP (NPI 1285074088) is an individual adult health provider in Fort Wayne, Indiana, licensed in Indiana (71004075A) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Goshen Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1285074088
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSHARON L SPEARCredential: NP
Location Address5010 W JEFFERSON BLVDFort Wayne, IN 46804-6804
Mailing Address5010 W Jefferson BlvdFort Wayne, IN 46804-6804 · (260) 436-1248 · Fax (260) 436-7968
Phone(260) 436-1248
Fax(260) 436-7968
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJune 26, 2013
✔ NPI 1285074088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in IN · 71004075A✔ Licensed in IN · 71004075B
5010 W JEFFERSON BLVD, Fort Wayne, IN 46804
Open in Google Maps ↗

Other Identifiers 1

Other71004075IN · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Sharon L Spear Np 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 ID4284867946
PECOS Enrollment IDI20140502001181
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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
118 services50 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
72 services69 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
59 services58 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
20 services20 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Goshen Hospital

Acute Care Hospitals · Goshen, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150026
Location200 High Park AveGoshen, IN 46526 · Elkhart County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

80.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.47
Improvement Activities40
Cost57.57

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMERICAN KIDNEY CLINICS
Internal Medicine (Nephrology)
5010 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 436-1248
FORT WAYNE ENDOCRINOLOGY PC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5010 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 436-1248
MRS. JENNIFER SAGGARS PA-C
Physician Assistant
5010 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 436-1248
SWAPNA JOSEPH MD
Internal Medicine (Nephrology)
5010 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 369-8668
ASHOK KADAMBI MD
Specialist
5010 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 436-1248

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 Sharon Spear's NPI number?

The NPI number for Sharon Spear is 1285074088. It was assigned to this individual provider in the NPPES registry on June 26, 2013.

Where is Sharon Spear located?

Sharon Spear practices at 5010 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 436-1248.

What is Sharon Spear's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Sharon Spear enrolled in Medicare?

Yes. Sharon Spear 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 Sharon Spear accept?

Health plans from CareSource list Sharon Spear 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 Sharon Spear affiliated with any hospitals?

According to CMS data, Sharon Spear is affiliated with Goshen Hospital.

When was this NPI record last updated?

The NPPES record for Sharon Spear was last updated on June 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.