DONNA J SPOERLE NP
NPI 1417433087
Nurse Practitioner - Family in Mcminnville, TN

Active since July 17, 2018PECOS EnrolledAccepts Medicare Assignment
79.27/100
CMS Quality Rating
931 OLD SMITHVILLE RD, MCMINNVILLE, TN 37110(931) 259-4144 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Feb 12, 2025, Feb 3, 2025, Nov 14, 2024 and 4 more (7 updates tracked since 2018).

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

NPI1417433087
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDONNA J SPOERLECredential: NP
Location Address931 OLD SMITHVILLE RDMcminnville, TN 37110-5934
Mailing Address8000 N Sam Houston Pkwy EHumble, TX 77396-2900
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 17, 2018
Last NPPES UpdateFebruary 12, 20257 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1417433087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in TN · 36888✔ Licensed in TX · AP137063✔ Licensed in ME · CNP221179
931 OLD SMITHVILLE RD, Mcminnville, TN 37110

Secondary Practice Locations 4

Location 18000 N Sam Houston Pkwy EHumble, TX 77396-2900 · Phone (866) 389-2727
Location 2508 Upland StKenai, AK 99611-8026 · Phone (907) 335-7500
Location 346 Fairview Ave Ste 111Skowhegan, ME 04976-1481 · Phone (207) 474-0905 · Fax (207) 474-6930
Location 446 Fairview Ave Ste 334Skowhegan, ME 04976-1481 · Phone (207) 474-6201

Other Identifiers 2

Medicaid1750803AK
Medicaid1417433087ME

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

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.

PECOS PAC ID3375893324
PECOS Enrollment IDI20240411000803, I20250313000546
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.

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.

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.
81 services70 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
29 services28 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.
18 services17 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
13 services13 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
13 services13 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
12 services11 patients

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.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

79.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.72
Promoting Interoperability76
Improvement Activities40
Cost60.51

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.

Nurse Practitioner (Family)
931 OLD SMITHVILLE RD
MCMINNVILLE, TN 37110
Clinic/Center (Urgent Care)
931 OLD SMITHVILLE RD
MCMINNVILLE, TN 37110
Nurse Practitioner (Family)
931 OLD SMITHVILLE RD
MCMINNVILLE, TN 37110
Nurse Practitioner (Family)
931 OLD SMITHVILLE RD
MCMINNVILLE, TN 37110
Physical Therapist
931 OLD SMITHVILLE RD
MCMINNVILLE, TN 37110
Nurse Practitioner (Family)
931 OLD SMITHVILLE RD
MCMINNVILLE, TN 37110
Nurse Practitioner (Family)
931 OLD SMITHVILLE RD
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.

What insurance does Donna Spoerle accept?

Health plans from Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee, Community Health Choice, 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 19 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.