MRS. JODI L SPACE APNP
NPI 1518217280
Nurse Practitioner - Psychiatric/Mental Health in Crandon, WI
About Mrs. Jodi L Space Apnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JODI L SPACE APNP (NPI 1518217280) is an individual psychiatric/mental health provider in Crandon, Wisconsin, licensed in Wisconsin (5012-33) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Columbia School Of Medicine (2012).
NPPES Registry Identity
Specialties & Licenses 2
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
Mrs. Jodi L Space Apnp 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
2Medicare enrollment records show Jodi Space reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Crandon, WI 54520
- Reassigned Medicare billing, Wisconsin enrollment
- 31 clinicians in this Medicare group
Rib Lake, WI 54470
- Reassigned Medicare billing, Wisconsin enrollment
- 376 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 54520 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
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 Jodi Space's NPI number?
The NPI number for Jodi Space is 1518217280. It was assigned to this individual provider in the NPPES registry on September 10, 2012.
Where is Jodi Space located?
Jodi Space practices at 5416 Everybodys Rd, Crandon, WI 54520. The listed phone number is (715) 478-4890.
What is Jodi Space's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jodi Space enrolled in Medicare?
Yes. Jodi Space 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 Jodi Space's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jodi Space reassigns Medicare benefits to 2 organizations: Forest County Potawatomi Community (Crandon, WI) and Aspirus Medford Hospital & Clinics, Inc. (Rib Lake, WI). 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 Jodi Space's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jodi Space accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Jodi Space 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.
When was this NPI record last updated?
The NPPES record for Jodi Space was last updated on January 19, 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.
# Mrs. Jodi L Space, APNP · NPI 1518217280
Psychiatric/Mental Health physician in Crandon, Wisconsin. Individual provider, active in the CMS NPPES registry since September 10, 2012.
## Identity
- **NPI:** 1518217280 (Entity type: Individual)
- **Enumerated:** September 10, 2012
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 5012-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 5416 EVERYBODYS RD, Crandon, WI 54520-8627
- **Phone:** (715) 478-4890
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Forest County Potawatomi Community (NPI 1285741306, Crandon, WI); Aspirus Medford Hospital & Clinics, Inc. (NPI 1265502173, Rib Lake, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Missouri, Columbia School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** January 19, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1518217280) · Data from the CMS NPPES public registry.