1. Home
  2. Directory
  3. Tennessee
  4. Kingsport
  5. Nurse Practitioner
  6. NPI Profile

GINA SPENCE-BROWN FNP
NPI 1285129544
Nurse Practitioner - Family 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: January 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 3, 2022, Jun 28, 2018 (2 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 family provider in Kingsport, Tennessee, licensed in Tennessee (APN0000024226) 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 Taxonomy363LF0000X
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
Phone(423) 224-1300
Fax(423) 467-3644
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 28, 2018
Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2022
✔ NPI 1285129544 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
Licenses✔ Licensed in TN · APN0000024226✔ Licensed in VA · 0024176016
1570 WAVERLY RD, Kingsport, TN 37664
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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

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.

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.

GLORIA MICHELLE CHRISTY BS
Case Manager/Care Coordinator
1570 WAVERLY RD
KINGSPORT, TN 37664
Sullivan County (423) 224-1300
MS. KRISTY MAE TIPTON LPC
Counselor (Professional)
1570 WAVERLY RD
KINGSPORT, TN 37664
Sullivan County (423) 224-1300
TROY VINCENT ELLIOTT BS
Case Manager/Care Coordinator
1570 WAVERLY RD
KINGSPORT, TN 37664
Sullivan County (423) 224-1300
MATTHEW ANDREWS LCSW
Social Worker (Clinical)
1570 WAVERLY RD
KINGSPORT, TN 37664
Sullivan County (423) 224-1300
MRS. RITA DAWN HUTTON BS
Case Manager/Care Coordinator
1570 WAVERLY RD, HOLSTON COUNSELING CENTER
KINGSPORT, TN 37664
Sullivan County (423) 224-1300
PAMELA FAYE HALLETT REGISTERED NURSE RNC
Registered Nurse
1570 WAVERLY RD, HOLSTON COUNSELING
KINGSPORT, TN 37664
Sullivan County (423) 224-1300
SHERRY CHAPMAN
Case Manager/Care Coordinator
1570 WAVERLY RD
KINGSPORT, TN 37664
Sullivan County (423) 224-1300
DR. RAJESH SHIVAJI KADAM M.D.
Psychiatry & Neurology (Psychiatry)
1570 WAVERLY RD
KINGSPORT, TN 37664
Sullivan County (423) 224-1300

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, specializing in Family, with taxonomy code 363LF0000X.

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.

What insurance does Gina Spence-brown accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers 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 January 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.