DAWN SPELL FNP-C
NPI 1427452762
Nurse Practitioner in O Fallon, MO
About Dawn Spell Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAWN SPELL FNP-C (NPI 1427452762) is an individual nurse practitioner in O Fallon, Missouri, licensed in Missouri (2014038756) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and maintains a secondary practice location in Troy.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Dawn Spell Fnp-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.
Medicare Billing Reassignments
4Medicare enrollment records show Dawn Spell reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wentzville, MO 63385
- Reassigned Medicare billing, Missouri enrollment
- 269 clinicians in this Medicare group
Wentzville, MO 63385
- Reassigned Medicare billing, Missouri enrollment
- 741 clinicians in this Medicare group
O Fallon, MO 63366
- Reassigned Medicare billing, Missouri enrollment
- 697 clinicians in this Medicare group
Saint Louis, MO 63139
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
- 414 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 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm St Joseph Health Center
Acute Care Hospitals · Saint Charles, MOSsm St Joseph Hospital West
Acute Care Hospitals · Lake Saint Louis, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63366 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Dawn Spell's NPI number?
The NPI number for Dawn Spell is 1427452762. It was assigned to this individual provider in the NPPES registry on October 15, 2014.
Where is Dawn Spell located?
Dawn Spell practices at 1101 Highway K, O Fallon, MO 63366. The listed phone number is (636) 379-6363.
What is Dawn Spell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Dawn Spell enrolled in Medicare?
Yes. Dawn Spell 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 Dawn Spell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dawn Spell reassigns Medicare benefits to 4 organizations: Cep America LLC (Wentzville, MO), Ssm Health Care St. Louis (Wentzville, MO), Ssm Medical Group, Inc. (O Fallon, MO) and Ssm Cardinal Glennon Childrens Hospital (Saint Louis, MO). 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 Dawn Spell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dawn Spell accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Dawn Spell 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 Dawn Spell affiliated with any hospitals?
According to CMS data, Dawn Spell is affiliated with Ssm St Joseph Health Center and Ssm St Joseph Hospital West.
When was this NPI record last updated?
The NPPES record for Dawn Spell was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dawn Spell, FNP-C · NPI 1427452762
Nurse Practitioner physician in O Fallon, Missouri. Individual provider, active in the CMS NPPES registry since October 15, 2014.
## Identity
- **NPI:** 1427452762 (Entity type: Individual)
- **Enumerated:** October 15, 2014
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 2014038756 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1101 HIGHWAY K, O Fallon, MO 63366-8431
- **Phone:** (636) 379-6363
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Cep America LLC (NPI 1568017994, Wentzville, MO); Ssm Health Care St. Louis (NPI 1588618755, Wentzville, MO); Ssm Medical Group, Inc. (NPI 1851896146, O Fallon, MO); Ssm Cardinal Glennon Childrens Hospital (NPI 1073568226, Saint Louis, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** March 18, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1427452762) · Data from the CMS NPPES public registry.