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MRS. DENISE H SPARKS APRN
NPI 1801897830
Nurse Practitioner - Family in Madisonville, KY

Active since August 01, 2005PECOS EnrolledAccepts Medicare Assignment
200 CLINIC DR., MADISONVILLE, KY 42431(270) 825-7200(270) 825-6600 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 18, 2026, Sep 3, 2019 (2 updates tracked since 2019).

About Mrs. Denise H Sparks Aprn NPPES

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

MRS. DENISE H SPARKS APRN (NPI 1801897830) is an individual family provider in Madisonville, Kentucky, licensed in Kentucky (3002089) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1801897830
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. DENISE H SPARKSCredential: APRN
Location Address200 CLINIC DR.Madisonville, KY 42431
Mailing Address200 Clinic Dr.Madisonville, KY 42431 · (270) 825-7200 · Fax (270) 825-6600
Phone(270) 825-7200
Fax(270) 825-6600
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 1, 2005
Last NPPES UpdateMarch 18, 20262 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1801897830 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 KY · 3002089
200 CLINIC DR., Madisonville, KY 42431
Open in Google Maps ↗

Other Identifiers 1

Medicaid78007689KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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

Mrs. Denise H Sparks 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 ID7113052531
PECOS Enrollment IDI20100324000041
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 Denise Sparks reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Health Deaconess Medical Group Inc
Same address
Rural Health
200 CLINIC DR FL 5
Madisonville, KY 42431
  • Reassigned Medicare billing, Kentucky enrollment
  • 325 clinicians in this Medicare group
NPI 1306420575 (270) 825-7214
A New Start II, LLC
20 mi
Rehabilitation, Substance Use Disorder
222 PHILLIP STONE WAY
Central City, KY 42330
  • Reassigned Medicare billing, Kentucky enrollment
  • 15 clinicians in this Medicare group
NPI 1467823328 (866) 934-4611

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 42431 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES

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

BAPTIST HEALTH MEDICAL GROUP INC
Clinic/Center (Rural Health)
200 CLINIC DR., SUITE 1, 4TH FLOOR TOWER
MADISONVILLE, KY 42431
Hopkins County (270) 825-7520

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 Denise Sparks's NPI number?

The NPI number for Denise Sparks is 1801897830. It was assigned to this individual provider in the NPPES registry on August 1, 2005.

Where is Denise Sparks located?

Denise Sparks practices at 200 Clinic Dr., Madisonville, KY 42431. The listed phone number is (270) 825-7200.

What is Denise Sparks's specialty?

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

Is Denise Sparks enrolled in Medicare?

Yes. Denise Sparks 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 Denise Sparks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denise Sparks reassigns Medicare benefits to 2 organizations: Baptist Health Deaconess Medical Group Inc (Madisonville, KY) and A New Start II, LLC (Central City, KY). 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 Denise Sparks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denise Sparks accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Denise Sparks 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 Denise Sparks was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.