Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GINA SPENCE-BROWN FNP
NPI 1285129544
Nurse Practitioner in Kingsport, TN

Active since June 28, 2018PECOS EnrolledAccepts Medicare Assignment
33.26/100
CMS Quality Rating
1570 WAVERLY RD, KINGSPORT, TN 37664(423) 224-1300(423) 467-3644 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2026, Jan 3, 2022, Jun 28, 2018 (3 updates tracked since 2018).

About Gina Spence-brown Fnp NPPES

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

GINA SPENCE-BROWN FNP (NPI 1285129544) is an individual nurse practitioner in Kingsport, Tennessee, licensed in Tennessee (24226) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1285129544
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameGINA SPENCE-BROWNCredential: FNP
Location Address1570 WAVERLY RDKingsport, TN 37664-2523
Mailing Address1167 Spratlin Park DrGray, TN 37615-6205 · (423) 467-3600 · Fax (423) 467-3644
Fax(423) 467-3644
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 28, 2018
Last NPPES UpdateOctober 5, 20263 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1285129544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TN · 24226
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APN0000024226 (TN), 0024176016 (VA)
1570 WAVERLY RD, Kingsport, TN 37664

Accepted 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

Gina Spence-brown 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 ID941553267
PECOS Enrollment IDI20181101003431, I20210924000794
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 Gina Spence-brown reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Addiction Medicine
2725 W STATE ST
Bristol, TN 37620
  • Reassigned Medicare billing, Tennessee and Virginia enrollments
  • Also billed through NPI 1548739170 (Virginia)
  • 3 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37664 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

33.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality8.51
Promoting Interoperability0
Improvement Activities20
Cost60.71

Reported Quality Measures

Breast Cancer Screening
0%31 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%146 patients1/55-star benchmark: 98%
Controlling High Blood Pressure
30%20 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
70%788 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
23%224 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
1%229 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
5%326 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 3% · 379 patients
3%379 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Case Manager/Care Coordinator
1570 WAVERLY RD
KINGSPORT, TN 37664
Counselor (Professional)
1570 WAVERLY RD
KINGSPORT, TN 37664
Case Manager/Care Coordinator
1570 WAVERLY RD
KINGSPORT, TN 37664
Social Worker (Clinical)
1570 WAVERLY RD
KINGSPORT, TN 37664
Case Manager/Care Coordinator
1570 WAVERLY RD, HOLSTON COUNSELING CENTER
KINGSPORT, TN 37664
Registered Nurse
1570 WAVERLY RD, HOLSTON COUNSELING
KINGSPORT, TN 37664
Case Manager/Care Coordinator
1570 WAVERLY RD
KINGSPORT, TN 37664
Psychiatry & Neurology (Psychiatry)
1570 WAVERLY RD
KINGSPORT, TN 37664

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 Gina Spence-brown's NPI number?

The NPI number for Gina Spence-brown is 1285129544. It was assigned to this individual provider in the NPPES registry on June 28, 2018.

Where is Gina Spence-brown located?

Gina Spence-brown practices at 1570 Waverly Rd, Kingsport, TN 37664. The listed phone number is (423) 224-1300.

What is Gina Spence-brown's specialty?

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

Is Gina Spence-brown enrolled in Medicare?

Yes. Gina Spence-brown 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 Gina Spence-brown's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gina Spence-brown reassigns Medicare benefits to Savida Health,pc (Bristol, TN). 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 Gina Spence-brown's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gina Spence-brown accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Gina Spence-brown 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 Gina Spence-brown was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.