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DONNA NICHTER SPRUNGER PMHNP-BC
NPI 1437767043
Nurse Practitioner - Psychiatric/Mental Health in Waterville, OH

Active since July 20, 2020PECOS EnrolledAccepts Medicare Assignment
7014 N RIVER RD, WATERVILLE, OH 43566(419) 304-7489 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Donna Nichter Sprunger Pmhnp-bc NPPES

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

DONNA NICHTER SPRUNGER PMHNP-BC (NPI 1437767043) is an individual psychiatric/mental health provider in Waterville, Ohio, licensed in Ohio (APRN.CNP.0027364) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Fulton County Health Center, and is a graduate of University Of Toledo College Of Medicine (2020).

NPPES Registry Identity

NPI1437767043
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDONNA NICHTER SPRUNGERCredential: PMHNP-BC
Location Address7014 N RIVER RDWaterville, OH 43566-9450
Mailing Address7014 N River RdWaterville, OH 43566-9450 · (419) 304-7489
Phone(419) 304-7489
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2020
Enumeration DateJuly 20, 2020
Last NPPES UpdateJanuary 19, 2024
NPPES CertifiedJanuary 19, 2024
✔ NPI 1437767043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.0027364
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 453998 (OH)
7014 N RIVER RD, Waterville, OH 43566
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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 Nichter Sprunger Pmhnp-bc 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 ID5294178224
PECOS Enrollment IDI20240207001063
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
60 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
52 services19 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
43 services37 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.
26 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services17 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services18 patients

Hospital Affiliations CMS Care Compare

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

Fulton County Health Center

Critical Access Hospitals · Wauseon, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361333
Location725 South Shoop AvenueWauseon, OH 43567 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43566 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Sprunger's NPI number?

The NPI number for Donna Sprunger is 1437767043. It was assigned to this individual provider in the NPPES registry on July 20, 2020.

Where is Donna Sprunger located?

Donna Sprunger practices at 7014 N River Rd, Waterville, OH 43566. The listed phone number is (419) 304-7489.

What is Donna Sprunger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Donna Sprunger enrolled in Medicare?

Yes. Donna Sprunger 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 Sprunger accept?

Health plans from CareSource and MedMutual list Donna Sprunger 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 Donna Sprunger affiliated with any hospitals?

According to CMS data, Donna Sprunger is affiliated with Fulton County Health Center.

When was this NPI record last updated?

The NPPES record for Donna Sprunger was last updated on January 19, 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.