1. Home
  2. Directory
  3. California
  4. Berkeley
  5. Nurse Practitioner
  6. NPI Profile

NICOLE ANASTASIA SPOONER NURSE PRACTITIONER
NPI 1508186644
Nurse Practitioner - Family in Berkeley, CA

Active since June 10, 2010PECOS EnrolledAccepts Medicare Assignment
1612 JULIA ST, BERKELEY, CA 94703(415) 307-4566(415) 206-4153 Get Directions Write a Review

NPPES record last updated: July 5, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 5, 2018, Dec 20, 2016 (2 updates tracked since 2016).

About Nicole Anastasia Spooner Nurse Practitioner NPPES

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

NICOLE ANASTASIA SPOONER NURSE PRACTITIONER (NPI 1508186644) is an individual family provider in Berkeley, California, licensed in California (95005748) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Walnut Creek, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1508186644
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE ANASTASIA SPOONERCredential: NURSE PRACTITIONER
Location Address1612 JULIA STBerkeley, CA 94703
Mailing Address1612 Julia StBerkeley, CA 94703-2018 · (415) 307-4566 · Fax (415) 206-4153
Phone(415) 307-4566
Fax(415) 206-4153
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 10, 2010
Last NPPES UpdateJuly 5, 20182 updates tracked since enumeration
✔ NPI 1508186644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95005748
Also ListedRegistered NurseTaxonomy 163W00000X · License 755783 (CA)
1612 JULIA ST, Berkeley, CA 94703
Open in Google Maps ↗

Secondary Practice Location 1

Location 11450 Treat Blvd # 160Walnut Creek, CA 94597-2168 · Phone (925) 296-9000

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

Nicole Anastasia Spooner Nurse Practitioner 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 ID5294001384
PECOS Enrollment IDI20171017002378
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 2

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.
33 services18 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.
26 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94703 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 Nicole Spooner's NPI number?

The NPI number for Nicole Spooner is 1508186644. It was assigned to this individual provider in the NPPES registry on June 10, 2010.

Where is Nicole Spooner located?

Nicole Spooner practices at 1612 Julia St, Berkeley, CA 94703. The listed phone number is (415) 307-4566.

What is Nicole Spooner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Spooner enrolled in Medicare?

Yes. Nicole Spooner 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.

When was this NPI record last updated?

The NPPES record for Nicole Spooner was last updated on July 5, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.