ABIGAIL JANE BERTOLA SPAINHOWER FNP
NPI 1538948377
Nurse Practitioner - Family in West Valley, UT

Active since September 21, 2023PECOS EnrolledAccepts Medicare Assignment
3534 S 6000 W, WEST VALLEY, UT 84128(801) 658-6904 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Abigail Jane Bertola Spainhower Fnp NPPES

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

ABIGAIL JANE BERTOLA SPAINHOWER FNP (NPI 1538948377) is an individual family provider in West Valley, Utah, licensed in Utah (11582027-4405) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital-jordan Valley, and maintains a secondary practice location in West Jordan.

NPPES Registry Identity

NPI1538948377
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameABIGAIL JANE BERTOLA SPAINHOWERCredential: FNP
Location Address3534 S 6000 WWest Valley, UT 84128-2698
Mailing Address11289 S High Crest LnSouth Jordan, UT 84009-5035 · (801) 558-1482
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 21, 2023
NPPES CertifiedSeptember 21, 2023
✔ NPI 1538948377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · 11582027-4405
3534 S 6000 W, West Valley, UT 84128

Other Names 1

Former Name (1)Abigail Jane Spainhower

Secondary Practice Location 1

Location 13354 W 7800 SWest Jordan, UT 84088-4506 · Phone (801) 282-2677

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

Abigail Jane Bertola Spainhower Fnp 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 ID4981041365
PECOS Enrollment IDI20240320003697
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 Reassignment

Medicare enrollment records show Abigail Spainhower reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
3534 S 6000 W
West Valley, UT 84128
  • Reassigned Medicare billing, Utah enrollment
  • 11 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.

Hospital Affiliations CMS Care Compare

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

Holy Cross Hospital-Jordan Valley

Acute Care Hospitals · West Jordan, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460051
Location3580 West 9000 SouthWest Jordan, UT 84088 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84128 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 6

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

Nurse Practitioner (Family)
3534 S 6000 W
WEST VALLEY, UT 84128
Family Medicine
3534 S 6000 W
WEST VALLEY, UT 84128
Family Medicine
3534 S 6000 W
WEST VALLEY, UT 84128
Nurse Practitioner (Family)
3534 S 6000 W
SALT LAKE CITY, UT 84128
Nurse Practitioner
3534 S 6000 W
WEST VALLEY, UT 84128
Nurse Practitioner (Family)
3534 S 6000 W
WEST VALLEY CITY, UT 84128

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 Abigail Spainhower's NPI number?

The NPI number for Abigail Spainhower is 1538948377. It was assigned to this individual provider in the NPPES registry on September 21, 2023. The provider is also known as Abigail Jane Spainhower.

Where is Abigail Spainhower located?

Abigail Spainhower practices at 3534 S 6000 W, West Valley, UT 84128. The listed phone number is (801) 658-6904.

What is Abigail Spainhower's specialty?

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

Is Abigail Spainhower enrolled in Medicare?

Yes. Abigail Spainhower 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 organization bills Medicare for Abigail Spainhower's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abigail Spainhower reassigns Medicare benefits to Hunter Medical Center, Inc (West Valley, UT). The 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 Abigail Spainhower's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abigail Spainhower accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and University of Utah Health Plans list Abigail Spainhower 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 Abigail Spainhower affiliated with any hospitals?

According to CMS data, Abigail Spainhower is affiliated with Holy Cross Hospital-Jordan Valley.

When was this NPI record last updated?

The NPPES record for Abigail Spainhower was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.