KELLY SPYCHALSKI NP
NPI 1790182368
Nurse Practitioner - Gerontology in Ada, OK

Q: What is Kelly Spychalski's NPI number?

The NPI number for Kelly Spychalski is 1790182368. It was assigned to this individual provider in the NPPES registry on November 26, 2014. The provider is also known as Kelly Leigh Peterson.

Q: What is Kelly Spychalski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Spychalski was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since November 26, 2014PECOS EnrolledAccepts Medicare Assignment

61.17/100

CMS Quality Rating

430 N MONTE VISTA ST, ADA, OK 74820(580) 421-1141(580) 421-1224 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2025, Mar 5, 2025, Oct 5, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Kelly Spychalski Np NPPES

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

KELLY SPYCHALSKI NP (NPI 1790182368) is an individual gerontology provider in Ada, Oklahoma, licensed in Oklahoma (214685) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with Logan Health Medical Center, and maintains a secondary practice location in Kalispell.

NPPES Registry Identity

NPI1790182368

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameKELLY SPYCHALSKICredential: NP

Location Address430 N MONTE VISTA STAda, OK 74820-4610

Mailing Address430 N Monte Vista StAda, OK 74820-4610 · (580) 421-1141 · Fax (580) 421-1224

Phone(580) 421-1141

Fax(580) 421-1224

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateNovember 26, 2014

Last NPPES UpdateJune 10, 20254 updates tracked since enumeration

NPPES CertifiedJune 10, 2025

✔ NPI 1790182368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

Licenses✔ Licensed in OK · 214685✔ Licensed in MT · 263149

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 38354.1542 (WY), 16847 (OH), 263149 (MT)

430 N MONTE VISTA ST, Ada, OK 74820

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Other Names 1

Former Name (1)Kelly Leigh Peterson

Secondary Practice Location 1

Location 1350 Heritage Way Ste 1100Kalispell, MT 59901-3160 · Phone (406) 752-8900 · Fax (406) 752-8909

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Medica, Providence 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

Kelly Spychalski Np 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 ID6103141734

PECOS Enrollment IDI20230926000711, I20250625000652

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 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.

285 services133 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.

244 services193 patients

Hospital Affiliations CMS Care Compare 5

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

Logan Health Medical Center

Acute Care Hospitals · Kalispell, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270051

Location310 Sunnyview LaneKalispell, MT 59901 · Flathead County

Emergency services Birthing friendly

Cabinet Peaks Medical Center

Critical Access Hospitals · Libby, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271320

Location209 Health Park DrLibby, MT 59923 · Lincoln County

Emergency services

Logan Health - Whitefish

Critical Access Hospitals · Whitefish, MT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number271336

Location1600 Hospital WayWhitefish, MT 59937 · Flathead County

Emergency services Birthing friendly

Mercy Hospital Ada

Acute Care Hospitals · Ada, OK

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370020

Location430 North Monte VistaAda, OK 74820 · Pontotoc County

Emergency services Birthing friendly

Chickasaw Nation Medical Center

Acute Care Hospitals · Ada, OK

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number370180

Location1921 Stonecipher BlvdAda, OK 74820 · Pontotoc County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74820 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

61.17/100

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

Scored as part of a group practice

Quality

71.83

Promoting Interoperability

Improvement Activities

Cost

15.41

Other Providers at the Same Location NPPES 20

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

MERCY HOSPITAL ADA, INC

Medicare Defined Swing Bed Unit

430 N MONTE VISTA ST
ADA, OK 74820

Pontotoc County (580) 332-2323

MICHELLE L PLUMMER COTA/L

Occupational Therapy Assistant

430 N MONTE VISTA ST
ADA, OK 74820

Pontotoc County (580) 332-3349

JAMIE C KOCH MD

Anesthesiology

430 N MONTE VISTA ST, OK
ADA, OK 74820

Pontotoc County (580) 421-1160

MERCY HOSPITAL ADA, INC

Psychiatric Unit

430 N MONTE VISTA ST
ADA, OK 74820

Pontotoc County (580) 332-2323

MADISON MORRIS

Physician Assistant

430 N MONTE VISTA ST
ADA, OK 74820

Pontotoc County (580) 332-2323

SHANNON D KRUEGER

Registered Nurse (Diabetes Educator)

430 N MONTE VISTA ST
ADA, OK 74820

Pontotoc County (580) 421-1511

MRS. KRYSTAL BROOKE SPRINGFIELD RN, CDCES

Registered Nurse (Diabetes Educator)

430 N MONTE VISTA ST
ADA, OK 74820

Pontotoc County (580) 421-1228

NATHAN HARPER HARRIS MD

Emergency Medicine

430 N MONTE VISTA ST
ADA, OK 74820

Pontotoc County (580) 332-2323

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 Kelly Spychalski's NPI number?

The NPI number for Kelly Spychalski is 1790182368. It was assigned to this individual provider in the NPPES registry on November 26, 2014. The provider is also known as Kelly Leigh Peterson.

Where is Kelly Spychalski located?

Kelly Spychalski practices at 430 N Monte Vista St, Ada, OK 74820. The listed phone number is (580) 421-1141.

What is Kelly Spychalski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Kelly Spychalski enrolled in Medicare?

Yes. Kelly Spychalski 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.

What insurance does Kelly Spychalski accept?

Health plans from Blue Cross and Blue Shield of Montana, Medica and Providence Health Plan list Kelly Spychalski 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.

Is Kelly Spychalski affiliated with any hospitals?

According to CMS data, Kelly Spychalski is affiliated with Logan Health Medical Center, Cabinet Peaks Medical Center, Logan Health - Whitefish, Mercy Hospital Ada and Chickasaw Nation Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Spychalski was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.