MRS. STEFANIE KAYE SPALDING MSN, APRN, NP-C
NPI 1376015602
Nurse Practitioner in Lebanon, KY

Q: What is Stefanie Spalding's NPI number?

The NPI number for Stefanie Spalding is 1376015602. It was assigned to this individual provider in the NPPES registry on December 27, 2018.

Q: What is Stefanie Spalding's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stefanie Spalding was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since December 27, 2018PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

320 N LORETTO RD, LEBANON, KY 40033(270) 692-5187(270) 699-4621 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 18, 2024, Jan 11, 2023, Dec 27, 2018 (3 updates tracked since 2018).

On this page

About Mrs. Stefanie Kaye Spalding Msn, Aprn, Np-c NPPES

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

MRS. STEFANIE KAYE SPALDING MSN, APRN, NP-C (NPI 1376015602) is an individual nurse practitioner in Lebanon, Kentucky, licensed in Kentucky (3012969) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Spring View Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1376015602

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. STEFANIE KAYE SPALDINGCredential: MSN, APRN, NP-C

Location Address320 N LORETTO RDLebanon, KY 40033-1300

Mailing Address320 N Loretto RdLebanon, KY 40033-1300 · (270) 692-5187 · Fax (270) 699-4621

Phone(270) 692-5187

Fax(270) 699-4621

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 27, 2018

Last NPPES UpdateOctober 29, 20243 updates tracked since enumeration

NPPES CertifiedOctober 29, 2024

✔ NPI 1376015602 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 KY · 3012969

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 · Primary CareTaxonomy 363LP2300X · License 3012969 (KY)

320 N LORETTO RD, Lebanon, KY 40033

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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. Stefanie Kaye Spalding Msn, Aprn, Np-c 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 ID3173861960

PECOS Enrollment IDI20190221001487

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

Medicare enrollment records show Stefanie Spalding reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spring View Physician Practices, LLC

0.1 mi

Urology

420 LORETTO RD, SUITE 600
Lebanon, KY 40033

Reassigned Medicare billing, Kentucky enrollment
38 clinicians in this Medicare group

NPI 1033459854 (270) 692-5139

Spring View Hospital LLC

0.1 mi

Internal Medicine

320 LORETTO RD
Lebanon, KY 40033

Reassigned Medicare billing, Kentucky enrollment
15 clinicians in this Medicare group

NPI 1992849822 (270) 692-3161

Woundrx 2U LLC

5.6 mi

Primary Care

1085 STEWARTS CREEK RD
Lebanon, KY 40033

Reassigned Medicare billing, Kentucky enrollment

NPI 1477267706 (812) 616-4062

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 27

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.

Epifix, per square centimeter Q4186

Epifix is an advanced wound care treatment, derived from human placental tissue. It helps to promote healing by providing a protective barrier and supplying growth factors. Each square centimeter refers to the size of the Epifix graft needed for your specific wound.

3,289 services33 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.

448 services69 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

360 services69 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

349 services144 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

232 services86 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.

199 services46 patients

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.

192 services86 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

189 services31 patients

Removal of fingernails or toenails, 6 or more nails 11721

182 services83 patients

Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271

This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.

164 services29 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.

156 services34 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

155 services21 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

154 services49 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

147 services92 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

128 services48 patients

Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271

72 services13 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

69 services27 patients

Application of chemical to stop tissue regrowth in wound 17250

This procedure involves applying a special chemical to a wound to prevent unwanted tissue from growing back. It aids in proper healing by ensuring only healthy tissue regrows. It's a common, safe practice in wound care.

65 services24 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

59 services25 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

43 services43 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

32 services16 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

28 services27 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

23 services14 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

18 services18 patients

Simple or single drainage of skin abscess 10060

A simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.

17 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

15 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Spring View Hospital

Acute Care Hospitals · Lebanon, KY

4/5 CMS rating

OwnershipProprietary

CMS Certification Number180024

Location320 Loretto RoadLebanon, KY 40033 · Marion County

Emergency services Birthing friendly

Taylor Regional Hospital

Acute Care Hospitals · Campbellsville, KY

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number180087

Location1700 Old Lebanon RoadCampbellsville, KY 42718 · Taylor County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40033 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212

DME-Medical/Surgical Supplies · category DA023N

2 suppliers13 claims163 services$8.45 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402

DME-Medical/Surgical Supplies · category DA023N

2 suppliers13 claims1,198 services$0.09 avg. paid by Medicare

Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446

DME-Medical/Surgical Supplies · category DA023N

2 suppliers13 claims1,656 services$0.33 avg. paid by Medicare

Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard A6449

DME-Medical/Surgical Supplies · category DA023N

2 suppliers13 claims1,005 services$1.69 avg. paid by Medicare

Powered pressure-reducing air mattress E0277

DME-Hospital Beds · category DB000N

2 suppliers11 claims11 services$335.32 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$28.24 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

DR. STACY L SMITHSON M.D.

Obstetrics & Gynecology

320 N LORETTO RD
LEBANON, KY 40033

Marion County (270) 692-6131

SPRING VIEW HOSPITAL LLC

Psychiatric Unit

320 N LORETTO RD
LEBANON, KY 40033

Marion County (270) 692-3161

THERESA MAHONEY PHARMD

Pharmacist

320 N LORETTO RD
LEBANON, KY 40033

Marion County (270) 692-5276

KATHERINE GORDON CCC SLP

Speech-Language Pathologist

320 N LORETTO RD
LEBANON, KY 40033

Marion County (270) 699-5788

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 Stefanie Spalding's NPI number?

The NPI number for Stefanie Spalding is 1376015602. It was assigned to this individual provider in the NPPES registry on December 27, 2018.

Where is Stefanie Spalding located?

Stefanie Spalding practices at 320 N Loretto Rd, Lebanon, KY 40033. The listed phone number is (270) 692-5187.

What is Stefanie Spalding's specialty?

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

Is Stefanie Spalding enrolled in Medicare?

Yes. Stefanie Spalding 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 Stefanie Spalding's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stefanie Spalding reassigns Medicare benefits to 3 organizations: Spring View Physician Practices, LLC (Lebanon, KY), Spring View Hospital LLC (Lebanon, KY) and Woundrx 2U LLC (Lebanon, KY). 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 Stefanie Spalding's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stefanie Spalding accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Stefanie Spalding 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 Stefanie Spalding affiliated with any hospitals?

According to CMS data, Stefanie Spalding is affiliated with Spring View Hospital and Taylor Regional Hospital.

When was this NPI record last updated?

The NPPES record for Stefanie Spalding was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.