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MRS. PATTI A SPRANG CNP
NPI 1497818058
Nurse Practitioner - Women's Health in Lexington, OH

Active since December 18, 2006PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
375 W MAIN ST, LEXINGTON, OH 44904(567) 241-7055(567) 241-7565 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Patti A Sprang Cnp NPPES

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

MRS. PATTI A SPRANG CNP (NPI 1497818058) is an individual women's health provider in Lexington, Ohio, licensed in Ohio (APRN.CNP.03488) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1497818058
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMRS. PATTI A SPRANGCredential: CNP
Location Address375 W MAIN STLexington, OH 44904-9543
Mailing AddressPo Box 7527Dublin, OH 43017-0727
Phone(567) 241-7055
Fax(567) 241-7565
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 18, 2006
Last NPPES UpdateMarch 22, 2022
NPPES CertifiedMarch 22, 2022
✔ NPI 1497818058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in OH · APRN.CNP.03488
Also ListedNurse PractitionerTaxonomy 363L00000X · License 204771 (OH)
375 W MAIN ST, Lexington, OH 44904
Open in Google Maps ↗

Other Identifiers 1

Medicaid2019872OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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

Mrs. Patti A Sprang Cnp 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 ID9830215771
PECOS Enrollment IDI20100928001089
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 4

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.
99 services73 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
47 services47 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
31 services31 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.
30 services27 patients

Hospital Affiliations CMS Care Compare 3

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360118
Location335 Glessner AvenueMansfield, OH 44903 · Richland County
Emergency services Birthing friendly

Ohiohealth Shelby Hospital

Critical Access Hospitals · Shelby, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361324
Location199 West Main StreetShelby, OH 44875 · Richland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44904 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.

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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAENA L NEWMAN CNM
Advanced Practice Midwife
375 W MAIN ST
LEXINGTON, OH 44904
Richland County (567) 241-7055

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 Patti Sprang's NPI number?

The NPI number for Patti Sprang is 1497818058. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Patti Sprang located?

Patti Sprang practices at 375 W Main St, Lexington, OH 44904. The listed phone number is (567) 241-7055.

What is Patti Sprang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Patti Sprang enrolled in Medicare?

Yes. Patti Sprang 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 Patti Sprang accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Oscar Health Insurance list Patti Sprang 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 Patti Sprang affiliated with any hospitals?

According to CMS data, Patti Sprang is affiliated with Riverside Methodist Hospital, Ohiohealth Mansfield Hospital and Ohiohealth Shelby Hospital.

When was this NPI record last updated?

The NPPES record for Patti Sprang was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.