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AMELIA KRISTINE SPONSELLER FNP
NPI 1629233440
Nurse Practitioner - Family in Scarborough, ME

Active since July 21, 2008PECOS Enrolled
153 US ROUTE 1, SCARBOROUGH, ME 04074(207) 799-8596(207) 799-1730 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 28, 2020, Jan 10, 2017 (2 updates tracked since 2017).

About Amelia Kristine Sponseller Fnp NPPES

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

AMELIA KRISTINE SPONSELLER FNP (NPI 1629233440) is an individual family provider in Scarborough, Maine, licensed in Maine (CNP18920) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629233440
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMELIA KRISTINE SPONSELLERCredential: FNP
Location Address153 US ROUTE 1Scarborough, ME 04074-9052
Mailing AddressPo Box 9746Portland, ME 04104-5040 · (207) 791-3888 · Fax (207) 828-7850
Phone(207) 799-8596
Fax(207) 799-1730
Sole ProprietorNo
Enumeration DateJuly 21, 2008
Last NPPES UpdateSeptember 28, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2020
✔ NPI 1629233440 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 ME · CNP18920
153 US ROUTE 1, Scarborough, ME 04074
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amelia Kristine Sponseller Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Amelia Sponseller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Martin's Point Health Care, Inc.
9.2 mi
Family Medicine
331 VERANDA ST
Portland, ME 04104
  • Reassigned Medicare billing, Maine enrollment
  • 153 clinicians in this Medicare group
NPI 1366474611 (207) 791-3888

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
62 services39 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services34 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
43 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services24 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
27 services27 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04074 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
84%301 patients4/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
79%470 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
71%78 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%3,965 patients5/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
70%665 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%200 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
80%1,578 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
97%1,578 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
45%1,578 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
53%1,578 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 15

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

MS. TRISTAN DANIELLE TOBIAS PA-C
Physician Assistant
153 US ROUTE 1
SCARBOROUGH, ME 04074
Cumberland County (207) 799-8596
DEIRDRE G. HOGAN LCSW
Social Worker (Clinical)
153 US ROUTE 1, SUITE 26, BOX 10
SCARBOROUGH, ME 04074
Cumberland County (207) 329-9621
SARA M HOFFMAN PA-C
Physician Assistant
153 US ROUTE 1
SCARBOROUGH, ME 04074
Cumberland County (207) 799-8596
KATHRYN MICHAUD
Nurse Practitioner
153 US ROUTE 1
SCARBOROUGH, ME 04074
Cumberland County (207) 799-8596
SEAN TYLER O'SULLIVAN DO
Family Medicine
153 US ROUTE 1
SCARBOROUGH, ME 04074
Cumberland County (207) 799-8596
MS. CHRISTY L. MADORE NP-C
Nurse Practitioner (Family)
153 US ROUTE 1
SCARBOROUGH, ME 04074
Cumberland County (207) 799-8596
ANGELEA NANNICELLI
Internal Medicine (Geriatric Medicine)
153 US ROUTE 1
SCARBOROUGH, ME 04074
Cumberland County (207) 799-8596
SARA FREEDMAN MD
Family Medicine
153 US ROUTE 1
SCARBOROUGH, ME 04074
Cumberland County (207) 799-8596

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 Amelia Sponseller's NPI number?

The NPI number for Amelia Sponseller is 1629233440. It was assigned to this individual provider in the NPPES registry on July 21, 2008.

Where is Amelia Sponseller located?

Amelia Sponseller practices at 153 Us Route 1, Scarborough, ME 04074. The listed phone number is (207) 799-8596.

What is Amelia Sponseller's specialty?

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

Is Amelia Sponseller enrolled in Medicare?

Yes. Amelia Sponseller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amelia Sponseller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amelia Sponseller reassigns Medicare benefits to Martin's Point Health Care, Inc. (Portland, ME). 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 Amelia Sponseller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amelia Sponseller accept?

Health plans from Taro Health list Amelia Sponseller 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 Amelia Sponseller was last updated on September 28, 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.