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MRS. ADRIANE MICHELLE SPRUELL ANP
NPI 1346623956
Nurse Practitioner - Adult Health in Saint Louis, MO

Active since June 30, 2015PECOS EnrolledAccepts Medicare Assignment
97.4/100
CMS Quality Rating
4444 FOREST PARK AVE, SAINT LOUIS, MO 63108(314) 362-4503(314) 362-4566 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 15, 2016, Oct 1, 2015 (2 updates tracked since 2015).

About Mrs. Adriane Michelle Spruell Anp NPPES

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

MRS. ADRIANE MICHELLE SPRUELL ANP (NPI 1346623956) is an individual adult health provider in Saint Louis, Missouri, licensed in Kentucky (4002839) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Hazard Arh Regional Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1346623956
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. ADRIANE MICHELLE SPRUELLCredential: ANP
Location Address4444 FOREST PARK AVESaint Louis, MO 63108-2212
Mailing Address660 S Euclid Ave, C B 8111Saint Louis, MO 63110-1010 · (314) 362-4503 · Fax (314) 362-4566
Phone(314) 362-4503
Fax(314) 362-4566
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 30, 2015
Last NPPES UpdateJune 27, 20232 updates tracked since enumeration
NPPES CertifiedJune 27, 2023
✔ NPI 1346623956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in KY · 4002839✔ Licensed in WV · 116231
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 2008023126 (MO)
4444 FOREST PARK AVE, Saint Louis, MO 63108
Open in Google Maps ↗

Other Identifiers 1

MedicaidENROLLEDIL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.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

Mrs. Adriane Michelle Spruell Anp 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 ID5395059505
PECOS Enrollment IDI20150731016634, I20230713003776, I20230714003462, I20231108000985, I20240802002543, I20240806004370, I20250521001009, I20260901002669
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 Reassignments

15

Medicare enrollment records show Adriane Spruell reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Washington University
0.4 mi
Multi-Specialty
660 S EUCLID AVE
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri enrollment
  • 236 clinicians in this Medicare group
NPI 1356382527 (314) 362-3282
Arh Mary Breckinridge Health Services, Inc.
316 mi
Multi-Specialty
431 REDDING RD STE 140
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • Also billed through NPI 1053983908 (Kentucky), NPI 1790060820 (Kentucky)
  • 89 clinicians in this Medicare group
NPI 1740900075 (859) 226-2500
Appalachian Regional Healthcare, Inc.
383 mi
Rural Health
1084 HIGHWAY 7, SUITE 2
West Liberty, KY 41472
  • Reassigned Medicare billing, Kentucky, Missouri and West Virginia enrollments
  • Also billed through NPI 1962520312 (West Virginia), NPI 1801403092 (Kentucky)
  • 419 clinicians in this Medicare group
NPI 1780043927 (606) 743-3065
Signify Health Medical Associates Of Kansas LLC
391 mi
Multi-Specialty
801 E DOUGLAS AVE FL 2
Wichita, KS 67202
  • Reassigned Medicare billing, Kansas enrollment
  • 260 clinicians in this Medicare group
NPI 1780261701 (877) 868-5351
On Demand Neurology Of Ks, PA
391 mi
Neurology
801 E DOUGLAS AVE FL 2
Wichita, KS 67202
  • Reassigned Medicare billing, Kansas enrollment
  • 2 clinicians in this Medicare group
NPI 1669299285 (313) 887-0960
Tapestry Telehealth PLLC
394 mi
Geriatric Medicine
230 CHERRY ST
Chillicothe, OH 45601
  • Reassigned Medicare billing, Colorado, Iowa, Kansas, Kentucky, Missouri, Texas and West Virginia enrollments
  • 14 clinicians in this Medicare group
NPI 1992215446 (203) 666-8145
Arh Tug Valley Health Services, Inc.
397 mi
Multi-Specialty
787 PARKWAY DR
Salyersville, KY 41465
  • Reassigned Medicare billing, Kentucky enrollment
  • 242 clinicians in this Medicare group
NPI 1942962105 (606) 349-3511
Rosewood Hills Healthcare PC
410 mi
Internal Medicine
1 PERIMETER PARK S STE 100N
Birmingham, AL 35243
  • Reassigned Medicare billing, Kentucky enrollment
  • 24 clinicians in this Medicare group
NPI 1922891969 (203) 666-8145
Emerald Fern Wellness PC
536 mi
Internal Medicine
325 N SAINT PAUL ST STE 3100
Dallas, TX 75201
  • Reassigned Medicare billing, Kansas, Missouri and Texas enrollments
  • 21 clinicians in this Medicare group
NPI 1134012545 (203) 666-8145
Signify Health, LLC
540 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Kentucky and Missouri enrollments
  • 390 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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

Areas of Expertise CMS Part B claims 9

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,412 services1,405 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
374 services374 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
82 services47 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
43 services43 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
38 services35 patients
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.
34 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Hazard Arh Regional Medical Center

Acute Care Hospitals · Hazard, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180029
Location100 Medical Center DriveHazard, KY 41701 · Perry County
Emergency services Birthing friendly

Harlan Arh Hospital

Acute Care Hospitals · Harlan, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180050
Location81 Ball Park RoadHarlan, KY 40831 · Harlan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63108 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.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

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.

DR. PATRICIA TEREESE JIMENEZ MD
Obstetrics & Gynecology (Reproductive Endocrinology)
4444 FOREST PARK AVE, DIV OB REPRODUCTIVE ENDOCRINOLOGY, STE 3100
SAINT LOUIS, MO 63108
St. Louis City (314) 286-2400
DR. DANIELLE BUCHANAN IVIE DPT
Physical Therapist
4444 FOREST PARK AVE, STE 1210
SAINT LOUIS, MO 63108
St. Louis City (314) 286-1940
MS. MARY GRACE PORTELL LPC
Counselor (Professional)
4444 FOREST PARK AVE, STE 2600
SAINT LOUIS, MO 63108
St. Louis City (314) 286-1700
MRS. PATRICIA K NELLIS OT
Occupational Therapist
4444 FOREST PARK AVE, DEPT OCCUPATIONAL THERAPY, STE 2210
SAINT LOUIS, MO 63108
St. Louis City (314) 286-1669
DR. KELLY N BOTTERON MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4444 FOREST PARK AVE, STE 2600
SAINT LOUIS, MO 63108
St. Louis City (314) 286-1700
DR. ROBERT P FUCETOLA PHD
Clinical Neuropsychologist
4444 FOREST PARK AVE, DIV NEUROPSYCHOLOGY, 2ND FL
SAINT LOUIS, MO 63108
St. Louis City (314) 362-1408
MS. CHERYL L KLOHR MS OT
Occupational Therapist
4444 FOREST PARK AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 362-5079
MS. BRIDGET O OCHUKO DPT
Physical Therapist
4444 FOREST PARK AVE, STE 1210
SAINT LOUIS, MO 63108
St. Louis City (314) 286-1940

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 Adriane Spruell's NPI number?

The NPI number for Adriane Spruell is 1346623956. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Where is Adriane Spruell located?

Adriane Spruell practices at 4444 Forest Park Ave, Saint Louis, MO 63108. The listed phone number is (314) 362-4503.

What is Adriane Spruell's specialty?

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

Is Adriane Spruell enrolled in Medicare?

Yes. Adriane Spruell 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 organizations bill Medicare for Adriane Spruell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adriane Spruell reassigns Medicare benefits to 15 organizations: Washington University (Saint Louis, MO), Arh Mary Breckinridge Health Services, Inc. (Lexington, KY), Appalachian Regional Healthcare, Inc. (West Liberty, KY), Signify Health Medical Associates Of Kansas LLC (Wichita, KS), On Demand Neurology Of Ks, PA (Wichita, KS) and 10 more organizations, listed in the Medicare section above. Each 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 Adriane Spruell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adriane Spruell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Texas and 3 other insurers list Adriane Spruell 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 Adriane Spruell affiliated with any hospitals?

According to CMS data, Adriane Spruell is affiliated with Hazard Arh Regional Medical Center and Harlan Arh Hospital.

When was this NPI record last updated?

The NPPES record for Adriane Spruell was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.