KIMBERLEY ANN SPITZNER MSW
NPI 1386109189
Social Worker - Clinical in Kalamazoo, MI

Active since February 05, 2019PECOS EnrolledAccepts Medicare Assignment
84.88/100
CMS Quality Rating
601 JOHN ST, KALAMAZOO, MI 49007(269) 341-7654 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 12, 2020, Feb 5, 2019 (2 updates tracked since 2019).

About Kimberley Ann Spitzner Msw NPPES

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

KIMBERLEY ANN SPITZNER MSW (NPI 1386109189) is an individual clinical provider in Kalamazoo, Michigan, licensed in Michigan (6801068414) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1386109189
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLEY ANN SPITZNERCredential: MSW
Location Address601 JOHN STKalamazoo, MI 49007-5341
Mailing Address8730 B AveOtsego, MI 49078-9522 · (269) 492-4438
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateFebruary 5, 2019
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedOctober 12, 2020
NPI 1386109189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6801068414
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

601 JOHN ST, Kalamazoo, MI 49007

Accepted 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

Kimberley Ann Spitzner Msw 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 ID6800135831
PECOS Enrollment IDI20190308000550
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.

Hospital Affiliations CMS Care Compare

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

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49007 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
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

84.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.29
Promoting Interoperability100
Improvement Activities40
Cost68.32

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.

Obstetrics & Gynecology
601 JOHN ST, SUITE N1200
KALAMAZOO, MI 49007
Emergency Medicine
601 JOHN ST
KALAMAZOO, MI 49007
Physician Assistant
601 JOHN ST, BOX 74
KALAMAZOO, MI 49007
Nurse Anesthetist, Certified Registered
601 JOHN ST
KALAMAZOO, MI 49007
Internal Medicine (Critical Care Medicine)
601 JOHN ST, SUITE M-510
KALAMAZOO, MI 49007
Internal Medicine
601 JOHN ST, SUITE M-170
KALAMAZOO, MI 49007
Dietitian, Registered
601 JOHN ST
KALAMAROO, MI 49007
Internal Medicine
601 JOHN ST
KALAMAZOO, MI 49007

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 Kimberley Spitzner's NPI number?

The NPI number for Kimberley Spitzner is 1386109189. It was assigned to this individual provider in the NPPES registry on February 5, 2019.

Where is Kimberley Spitzner located?

Kimberley Spitzner practices at 601 John St, Kalamazoo, MI 49007. The listed phone number is (269) 341-7654.

What is Kimberley Spitzner's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kimberley Spitzner enrolled in Medicare?

Yes. Kimberley Spitzner 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 Kimberley Spitzner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Kimberley Spitzner 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 Kimberley Spitzner affiliated with any hospitals?

According to CMS data, Kimberley Spitzner is affiliated with Bronson Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Kimberley Spitzner was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.