CAROL SPANGLER CNP
NPI 1609816701
Nurse Practitioner in Rapid City, SD

Q: What is Carol Spangler's NPI number?

The NPI number for Carol Spangler is 1609816701. It was assigned to this individual provider in the NPPES registry on June 7, 2006. The provider is also known as Carol Dugan Cnp.

Q: What is Carol Spangler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Carol Spangler was last updated on September 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 07, 2006PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

4150 FIFTH STREET, RAPID CITY, SD 57701(605) 399-4300(605) 399-4352 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Carol Spangler Cnp NPPES

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

CAROL SPANGLER CNP (NPI 1609816701) is an individual nurse practitioner in Rapid City, South Dakota, licensed in South Dakota (R033998) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Monument Health Rapid City Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1609816701

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCAROL SPANGLERCredential: CNP

Location Address4150 FIFTH STREETRapid City, SD 57701

Mailing Address353 Fairmont Blvd, Atten Medical Staff ServicesRapid City, SD 57701-6000

Phone(605) 399-4300

Fax(605) 399-4352

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateJune 7, 2006

Last NPPES UpdateSeptember 8, 2020

NPPES CertifiedSeptember 8, 2020

✔ NPI 1609816701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in SD · R033998

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4150 FIFTH STREET, Rapid City, SD 57701

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Other Names 1

Former Name (1)Carol Dugan Cnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Sanford Health Plan.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

Carol Spangler Cnp 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 ID2961469648

PECOS Enrollment IDI20041216000434

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.

Hospital Affiliations CMS Care Compare

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

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430077

Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57701 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 11

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

JAMES S WALDER MD

Internal Medicine (Cardiovascular Disease)