GWENDOLYN MARIE SPONG APRN
NPI 1568954576
Nurse Practitioner - Family in St. Augustine, FL

Q: What is Gwendolyn Spong's NPI number?

The NPI number for Gwendolyn Spong is 1568954576. It was assigned to this individual provider in the NPPES registry on June 5, 2018.

Q: What is Gwendolyn Spong's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gwendolyn Spong was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 05, 2018PECOS EnrolledAccepts Medicare Assignment

2703 N PONCE DE LEON BLVD., MINUTE CLINIC #3591, AREA 4, REGION 46, ST. AUGUSTINE, FL 32084(904) 824-2838 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 12, 2020, Oct 17, 2018, Aug 28, 2018 (3 updates tracked since 2018).

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About Gwendolyn Marie Spong Aprn NPPES

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

GWENDOLYN MARIE SPONG APRN (NPI 1568954576) is an individual family provider in St. Augustine, Florida, licensed in Florida (APRN9350043) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in St Augustine, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1568954576

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameGWENDOLYN MARIE SPONGCredential: APRN

Location Address2703 N PONCE DE LEON BLVD., MINUTE CLINIC #3591, AREA 4, REGION 46St. Augustine, FL 32084

Mailing Address2703 N Ponce De Leon BlvdSt Augustine, FL 32084-2603 · (904) 415-9135

Phone(904) 824-2838

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 5, 2018

Last NPPES UpdateMarch 12, 20203 updates tracked since enumeration

NPPES CertifiedMarch 12, 2020

✔ NPI 1568954576 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 FL · APRN9350043

2703 N PONCE DE LEON BLVD., St. Augustine, FL 32084

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Secondary Practice Location 1

Location 11301 Plantation Island Dr S Ste 106ASt Augustine, FL 32080-3109 · Phone (904) 460-9191

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

Gwendolyn Marie Spong Aprn 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 ID446596191

PECOS Enrollment IDI20190116003605

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 14

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

361 services124 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

353 services62 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

279 services162 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

253 services142 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

148 services148 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

135 services41 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

90 services90 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

82 services73 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

79 services14 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

73 services49 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

42 services15 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

35 services23 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

22 services21 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32084 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 Gwendolyn Spong's NPI number?

The NPI number for Gwendolyn Spong is 1568954576. It was assigned to this individual provider in the NPPES registry on June 5, 2018.

Where is Gwendolyn Spong located?

Gwendolyn Spong practices at 2703 N Ponce De Leon Blvd. Minute Clinic #3591, Area 4, Region 46, St. Augustine, FL 32084. The listed phone number is (904) 824-2838.

What is Gwendolyn Spong's specialty?

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

Is Gwendolyn Spong enrolled in Medicare?

Yes. Gwendolyn Spong 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 Gwendolyn Spong was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.