KIMBERLY A SPANO FNP-BC
NPI 1750927182
Nurse Practitioner - Family in Belleville, IL

Active since November 20, 2019PECOS EnrolledAccepts Medicare Assignment
4600 MEMORIAL DR STE 200, BELLEVILLE, IL 62226(618) 233-2220 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2021, Nov 20, 2019 (2 updates tracked since 2019).

About Kimberly A Spano Fnp-bc NPPES

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

KIMBERLY A SPANO FNP-BC (NPI 1750927182) is an individual family provider in Belleville, Illinois, licensed in Illinois (209020174) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1750927182
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY A SPANOCredential: FNP-BC
Location Address4600 MEMORIAL DR STE 200Belleville, IL 62226-5363
Mailing Address4600 Memorial Dr Ste 200Belleville, IL 62226-5363 · (618) 233-2220
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 20, 2019
Last NPPES UpdateFebruary 22, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2021
NPI 1750927182 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 IL · 209020174
4600 MEMORIAL DR STE 200, Belleville, IL 62226

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

Kimberly A Spano Fnp-bc 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 ID1850721291
PECOS Enrollment IDI20200425000161
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 2

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.

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.
639 services571 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers12 claims12 services$30.69 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers17 claims17 services$69.44 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers19 claims46 services$25.85 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers19 claims19 services$51.74 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers15 claims15 services$16.32 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers17 claims17 services$10.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
4600 MEMORIAL DR STE 200
BELLEVILLE, IL 62226
Internal Medicine (Pulmonary Disease)
4600 MEMORIAL DR STE 200
BELLEVILLE, IL 62226
Anesthesiology (Critical Care Medicine)
4600 MEMORIAL DR STE 200
BELLEVILLE, IL 62226
Internal Medicine (Pulmonary Disease)
4600 MEMORIAL DR STE 200
BELLEVILLE, IL 62226
Nurse Practitioner
4600 MEMORIAL DR STE 200
BELLEVILLE, IL 62226
Internal Medicine (Pulmonary Disease)
4600 MEMORIAL DR STE 200
BELLEVILLE, IL 62226
Nurse Practitioner (Adult Health)
4600 MEMORIAL DR STE 200
BELLEVILLE, IL 62226
Internal Medicine (Infectious Disease)
4600 MEMORIAL DR STE 200
BELLEVILLE, IL 62226

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 Kimberly Spano's NPI number?

The NPI number for Kimberly Spano is 1750927182. It was assigned to this individual provider in the NPPES registry on November 20, 2019.

Where is Kimberly Spano located?

Kimberly Spano practices at 4600 Memorial Dr Ste 200, Belleville, IL 62226. The listed phone number is (618) 233-2220.

What is Kimberly Spano's specialty?

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

Is Kimberly Spano enrolled in Medicare?

Yes. Kimberly Spano 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 Kimberly Spano was last updated on February 22, 2021. 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.