JAMES MARK SPAW FNP-C
NPI 1811472822
Nurse Practitioner - Family in Rolla, MO
About James Mark Spaw Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES MARK SPAW FNP-C (NPI 1811472822) is an individual family provider in Rolla, Missouri, licensed in Missouri (2018001334) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Lebanon, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
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
James Mark Spaw Fnp-c 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.
Medicare Billing Reassignments
4Medicare enrollment records show James Spaw reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rolla, MO 65401
- Reassigned Medicare billing, Missouri enrollment
- Also billed through NPI 1245277631 (Missouri)
- 1,487 clinicians in this Medicare group
Chesterfield, MO 63017
- Reassigned Medicare billing, Missouri enrollment
- 263 clinicians in this Medicare group
Saint Louis, MO 63128
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: St Anthonys Physician Organization Hospitalist Services Lc
- 340 clinicians in this Medicare group
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 326 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital Lebanon
Acute Care Hospitals · Lebanon, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROLLA, MO 65401
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 James Spaw's NPI number?
The NPI number for James Spaw is 1811472822. It was assigned to this individual provider in the NPPES registry on September 26, 2018.
Where is James Spaw located?
James Spaw practices at 1605 Martin Springs Dr Ste 230, Rolla, MO 65401. The listed phone number is (573) 458-6350.
What is James Spaw's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is James Spaw enrolled in Medicare?
Yes. James Spaw 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 James Spaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Spaw reassigns Medicare benefits to 4 organizations: Mercy Clinic-Springfield Communities (Rolla, MO), Mercy Aco Clinical Services Inc (Chesterfield, MO), St Anthonys Physician Organization Hospitalist Services, L.C. (Saint Louis, MO) and Mercy Clinic Adult Hospitalists - St. Louis, LLC (Saint Louis, MO). 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 James Spaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Spaw accept?
Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list James Spaw 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 James Spaw affiliated with any hospitals?
According to CMS data, James Spaw is affiliated with Mercy Hospital Lebanon.
When was this NPI record last updated?
The NPPES record for James Spaw was last updated on November 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# James Mark Spaw, FNP-C · NPI 1811472822
Family physician in Rolla, Missouri. Individual provider, active in the CMS NPPES registry since September 26, 2018.
## Identity
- **NPI:** 1811472822 (Entity type: Individual)
- **Enumerated:** September 26, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2018001334 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1605 MARTIN SPRINGS DR STE 230, Rolla, MO 65401-2980
- **Phone:** (573) 458-6350
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Mercy Clinic-Springfield Communities (NPI 1811028723, Rolla, MO); Mercy Aco Clinical Services Inc (NPI 1063965093, Chesterfield, MO); St Anthonys Physician Organization Hospitalist Services, L.C. (NPI 1407216336, Saint Louis, MO); Mercy Clinic Adult Hospitalists - St. Louis, LLC (NPI 1841235108, Saint Louis, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** November 29, 2018
---
Source: [NPI Profile](https://npiprofile.com/npi/1811472822) · Data from the CMS NPPES public registry.