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MS. KATHLEEN M SPRANAITIS RN SC PNP
NPI 1326001371
Nurse Practitioner - Pediatrics in St Louis, MO

Active since April 10, 2006PECOS Enrolled
81.57/100
CMS Quality Rating
1465 S GRAND, ST LOUIS, MO 63104(314) 577-5647(314) 268-2775 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kathleen M Spranaitis Rn Sc Pnp NPPES

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

MS. KATHLEEN M SPRANAITIS RN SC PNP (NPI 1326001371) is an individual pediatrics provider in St Louis, Missouri, licensed in Missouri (083633) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326001371
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. KATHLEEN M SPRANAITISCredential: RN SC PNP
Location Address1465 S GRANDSt Louis, MO 63104
Mailing Address1465 S Grand BlvdSaint Louis, MO 63104-1003 · (314) 577-5647 · Fax (314) 268-2775
Phone(314) 577-5647
Fax(314) 268-2775
Sole ProprietorNo
Enumeration DateApril 10, 2006
Last NPPES UpdateMarch 30, 2021
NPPES CertifiedMarch 30, 2021
✔ NPI 1326001371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MO · 083633
1465 S GRAND, St Louis, MO 63104
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kathleen M Spranaitis Rn Sc Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 63104 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

Other Providers at the Same Location NPPES

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

SHERIDA E TOLLEFSEN MD
Pediatrics (Pediatric Endocrinology)
1465 S GRAND
ST. LOUIS, MO 63104
St. Louis City (314) 577-5684

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 Kathleen Spranaitis's NPI number?

The NPI number for Kathleen Spranaitis is 1326001371. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Kathleen Spranaitis located?

Kathleen Spranaitis practices at 1465 S Grand, St Louis, MO 63104. The listed phone number is (314) 577-5647.

What is Kathleen Spranaitis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kathleen Spranaitis enrolled in Medicare?

Yes. Kathleen Spranaitis is registered in the Medicare PECOS enrollment system.

What insurance does Kathleen Spranaitis accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Company list Kathleen Spranaitis 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 Kathleen Spranaitis was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.