MS. KATIE MAE SPANN APRN PMHNP
NPI 1457998965
Nurse Practitioner - Psychiatric/Mental Health in Clinton, MS

Active since December 03, 2019PECOS EnrolledAccepts Medicare Assignment
1510 HAWTHORNE PL, CLINTON, MS 39056(601) 813-5680 Get Directions Write a Review

NPPES record last updated: December 4, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Katie Mae Spann Aprn Pmhnp NPPES

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

MS. KATIE MAE SPANN APRN PMHNP (NPI 1457998965) is an individual psychiatric/mental health provider in Clinton, Mississippi, licensed in Mississippi (903657) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1457998965
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. KATIE MAE SPANNCredential: APRN PMHNP
Location Address1510 HAWTHORNE PLClinton, MS 39056-3911
Mailing Address200 Capitol StClinton, MS 39056-4026 · (601) 925-3205
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 3, 2019
Last NPPES UpdateDecember 4, 2019
✔ NPI 1457998965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MS · 903657
1510 HAWTHORNE PL, Clinton, MS 39056

Other Names 1

Professional Name (2)Ms. Katie Mae Spann Aprn Pmhnp

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

Ms. Katie Mae Spann Aprn Pmhnp 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 ID1153732243
PECOS Enrollment IDI20240702002537, I20250221000538
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Katie Spann reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
3531 LAKELAND DR
Jackson, MS 39232
  • Reassigned Medicare billing, Mississippi enrollment
  • 8 clinicians in this Medicare group
Adult Mental Health
1385 S COLORADO BLVD STE 306
Denver, CO 80222
  • Reassigned Medicare billing, Colorado enrollment
  • 2 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39056 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 Katie Spann's NPI number?

The NPI number for Katie Spann is 1457998965. It was assigned to this individual provider in the NPPES registry on December 3, 2019. The provider is also known as Ms. Katie Mae Spann Aprn Pmhnp.

Where is Katie Spann located?

Katie Spann practices at 1510 Hawthorne Pl, Clinton, MS 39056. The listed phone number is (601) 813-5680.

What is Katie Spann's specialty?

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

Is Katie Spann enrolled in Medicare?

Yes. Katie Spann 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 Katie Spann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katie Spann reassigns Medicare benefits to 2 organizations: Balance Behavioral Health (Jackson, MS) and Global Behavioral Healthcare (Denver, CO). 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 Katie Spann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katie Spann was last updated on December 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.