LAUREN MICHELLE SPADAFORE APRN
NPI 1649715020
Nurse Practitioner - Family in Cincinnati, OH

Active since December 21, 2016PECOS EnrolledAccepts Medicare Assignment
11390 MONTGOMERY RD, CINCINNATI, OH 45249(513) 618-4042 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 19, 2025, May 17, 2018, May 8, 2017 and 1 more (4 updates tracked since 2016).

About Lauren Michelle Spadafore Aprn NPPES

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

LAUREN MICHELLE SPADAFORE APRN (NPI 1649715020) is an individual family provider in Cincinnati, Ohio, licensed in Ohio (APRN.CNP.022501) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1649715020
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAUREN MICHELLE SPADAFORECredential: APRN
Location Address11390 MONTGOMERY RDCincinnati, OH 45249-2313
Mailing AddressPo Box 932958Cleveland, OH 44193-0028
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 21, 2016
Last NPPES UpdateJune 19, 20254 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1649715020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.022501
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN.CNP.022501 (OH)
11390 MONTGOMERY RD, Cincinnati, OH 45249

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

Lauren Michelle Spadafore 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 ID4486919875
PECOS Enrollment IDI20180606001863
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 Reassignments

2

Medicare enrollment records show Lauren Spadafore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
7132 HAMILTON AVE
Cincinnati, OH 45231
  • Reassigned Medicare billing, Ohio enrollment
  • 537 clinicians in this Medicare group
Pediatrics
3333 BURNET AVENUE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Ohio enrollment
  • 2,080 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45249 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 14

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

Nurse Practitioner (Family)
11390 MONTGOMERY RD
CINCINNATI, OH 45249
Pharmacist
11390 MONTGOMERY RD
CINCINNATI, OH 45249
Nurse Practitioner (Family)
11390 MONTGOMERY RD
CINCINNATI, OH 45249
Nurse Practitioner (Family)
11390 MONTGOMERY RD
CINCINNATI, OH 45249
Pharmacist
11390 MONTGOMERY RD
CINCINNATI, OH 45249
Nurse Practitioner (Family)
11390 MONTGOMERY RD
CINCINNATI, OH 45249
Nurse Practitioner (Family)
11390 MONTGOMERY RD
CINCINNATI, OH 45249
Nurse Practitioner (Family)
11390 MONTGOMERY RD
CINCINNATI, OH 45249

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 Lauren Spadafore's NPI number?

The NPI number for Lauren Spadafore is 1649715020. It was assigned to this individual provider in the NPPES registry on December 21, 2016.

Where is Lauren Spadafore located?

Lauren Spadafore practices at 11390 Montgomery Rd, Cincinnati, OH 45249. The listed phone number is (513) 618-4042.

What is Lauren Spadafore's specialty?

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

Is Lauren Spadafore enrolled in Medicare?

Yes. Lauren Spadafore 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 organizations bill Medicare for Lauren Spadafore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Spadafore reassigns Medicare benefits to 2 organizations: The Little Clinic Of Ohio LLC (Cincinnati, OH) and Children's Hospital Medical Center (Cincinnati, OH). Each 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 Lauren Spadafore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Spadafore accept?

Health plans from CareSource list Lauren Spadafore 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 Lauren Spadafore was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.