DONNA J SPOERLE NP
NPI 1417433087
Nurse Practitioner - Family in Mcminnville, TN
About Donna J Spoerle Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DONNA J SPOERLE NP (NPI 1417433087) is an individual family provider in Mcminnville, Tennessee, licensed in Tennessee (36888) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
Other Identifiers 2
Accepted 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
Donna J Spoerle Np 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.
Medicare Billing Reassignments
7Medicare enrollment records show Donna Spoerle reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gallatin, TN 37066
- Reassigned Medicare billing, Tennessee enrollment
- 28 clinicians in this Medicare group
Spring Hill, TN 37174
- Reassigned Medicare billing, Tennessee enrollment
- 985 clinicians in this Medicare group
Hoover, AL 35216
- Reassigned Medicare billing, Tennessee enrollment
- 537 clinicians in this Medicare group
Beaumont, TX 77706
- Reassigned Medicare billing, Texas enrollment
- 351 clinicians in this Medicare group
Kingwood, TX 77345
- Reassigned Medicare billing, Texas enrollment
- 12 clinicians in this Medicare group
Augusta, ME 04330
- Reassigned Medicare billing, Maine enrollment
- 978 clinicians in this Medicare group
Skowhegan, ME 04976
- Reassigned Medicare billing, Maine enrollment
- 124 clinicians in this Medicare group
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 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MCMINNVILLE, TN 37110
MCMINNVILLE, TN 37110
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 Donna Spoerle's NPI number?
The NPI number for Donna Spoerle is 1417433087. It was assigned to this individual provider in the NPPES registry on July 17, 2018.
Where is Donna Spoerle located?
Donna Spoerle practices at 931 Old Smithville Rd, Mcminnville, TN 37110. The listed phone number is (931) 259-4144.
What is Donna Spoerle's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Donna Spoerle enrolled in Medicare?
Yes. Donna Spoerle 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 Donna Spoerle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Donna Spoerle reassigns Medicare benefits to 7 organizations: Progressive Care Medical Group Of Tn PLLC (Gallatin, TN), Fast Pace Medical Clinic PLLC (Spring Hill, TN), Upperline Healthcare, PC (Hoover, AL), Doctors Express Of The Beaumont Area PA (Beaumont, TX), The Lady With The Lamp PLLC (Kingwood, TX) and 2 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 Donna Spoerle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Donna Spoerle accept?
Health plans from Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Donna Spoerle 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 Donna Spoerle was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Donna J Spoerle, NP · NPI 1417433087
Family physician in Mcminnville, Tennessee. Individual provider, active in the CMS NPPES registry since July 17, 2018.
## Identity
- **NPI:** 1417433087 (Entity type: Individual)
- **Enumerated:** July 17, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 36888 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 931 OLD SMITHVILLE RD, Mcminnville, TN 37110-5934
- **Phone:** (931) 259-4144
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Progressive Care Medical Group Of Tn PLLC (NPI 1164939039, Gallatin, TN); Fast Pace Medical Clinic PLLC (NPI 1134452865, Spring Hill, TN); Upperline Healthcare, PC (NPI 1538686498, Hoover, AL); Doctors Express Of The Beaumont Area PA (NPI 1841525235, Beaumont, TX); The Lady With The Lamp PLLC (NPI 1346636271, Kingwood, TX); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** February 12, 2025
- **Other identifiers:** Medicaid 1750803 (AK); Medicaid 1417433087 (ME)
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Source: [NPI Profile](https://npiprofile.com/npi/1417433087) · Data from the CMS NPPES public registry.