MRS. JODI L SPACE APNP
NPI 1518217280
Nurse Practitioner - Psychiatric/Mental Health in Crandon, WI

Active since September 10, 2012PECOS EnrolledAccepts Medicare Assignment
5416 EVERYBODYS RD, CRANDON, WI 54520(715) 478-4890 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 19, 2022, Jun 7, 2021 (2 updates tracked since 2021).

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

NPI1518217280
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. JODI L SPACECredential: APNP
Location Address5416 EVERYBODYS RDCrandon, WI 54520-8627
Mailing Address5416 Everybodys RdCrandon, WI 54520-8627 · (715) 478-4890
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2012
Enumeration DateSeptember 10, 2012
Last NPPES UpdateJanuary 19, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2022
NPI 1518217280 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 WI · 5012-33
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5012 (WI)
5416 EVERYBODYS RD, Crandon, WI 54520

Accepted 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. 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.

PECOS PAC ID3971758962
PECOS Enrollment IDI20130222000413
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.

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.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
5416 EVERYBODYS RD
CRANDON, WI 54520

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.

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.