NICOLE SPANO NURSE PRACTITIONER
NPI 1295077410
Nurse Practitioner - Psychiatric/Mental Health in Freehold, NJ

Q: What is Nicole Spano's NPI number?

The NPI number for Nicole Spano is 1295077410. It was assigned to this individual provider in the NPPES registry on March 26, 2013.

Q: What is Nicole Spano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Spano was last updated on November 6, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 26, 2013PECOS EnrolledAccepts Medicare Assignment

22 COURT ST, FREEHOLD, NJ 07728(732) 780-7387 Get Directions Write a Review

NPPES record last updated: November 6, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 6, 2018, May 10, 2016 (2 updates tracked since 2016).

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About Nicole Spano Nurse Practitioner NPPES

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

NICOLE SPANO NURSE PRACTITIONER (NPI 1295077410) is an individual psychiatric/mental health provider in Freehold, New Jersey, licensed in New Jersey (26NJ00810400) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brooklyn, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1295077410

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameNICOLE SPANOCredential: NURSE PRACTITIONER

Location Address22 COURT STFreehold, NJ 07728

Mailing Address22 Court StFreehold, NJ 07728-1700 · (732) 780-7387

Phone(732) 780-7387

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 26, 2013

Last NPPES UpdateNovember 6, 20182 updates tracked since enumeration

✔ NPI 1295077410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in NJ · 26NJ00810400✔ Licensed in NY · 402203

Also ListedRegistered NurseTaxonomy 163W00000X · License 606476 (NY), 26NR14764800 (NJ)

22 COURT ST, Freehold, NJ 07728

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Secondary Practice Location 1

Location 11083 McDonald AveBrooklyn, NY 11230 · Phone (732) 672-8584

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Nicole Spano Nurse Practitioner 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 ID7214289099

PECOS Enrollment IDI20181004003037

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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

104 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07728 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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.

Other Providers at the Same Location NPPES 17

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

MULIKAT MOYOSORE OTEPOLA APN

Nurse Practitioner (Psychiatric/Mental Health)