JAMES MARK SPAW FNP-C
NPI 1811472822
Nurse Practitioner - Family in Rolla, MO

Active since September 26, 2018PECOS EnrolledAccepts Medicare Assignment
1605 MARTIN SPRINGS DR STE 230, ROLLA, MO 65401(573) 458-6350 Get Directions Write a Review

NPPES record last updated: November 29, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 29, 2018, Sep 26, 2018 (2 updates tracked since 2018).

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

NPI1811472822
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJAMES MARK SPAWCredential: FNP-C
Location Address1605 MARTIN SPRINGS DR STE 230Rolla, MO 65401-2980
Mailing Address1605 Martin Springs Dr Ste 230Rolla, MO 65401-2980 · (573) 458-6350
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 26, 2018
Last NPPES UpdateNovember 29, 20182 updates tracked since enumeration
NPI 1811472822 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 MO · 2018001334
1605 MARTIN SPRINGS DR STE 230, Rolla, MO 65401

Accepted 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

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.

PECOS PAC ID2365786076
PECOS Enrollment IDI20181206003600
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 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.

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.
113 services101 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
37 services34 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.
21 services21 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
19 services17 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
13 services13 patients

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, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260059
Location100 Hospital DriveLebanon, MO 65536 · Laclede County
Emergency services Birthing friendly

Physician 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.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 4

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

Nurse Practitioner (Family)
1605 MARTIN SPRINGS DR STE 230
ROLLA, MO 65401
Family Medicine
1605 MARTIN SPRINGS DR STE 230
ROLLA, MO 65401
Nurse Practitioner (Family)
1605 MARTIN SPRINGS DR STE 230
ROLLA, MO 65401
Internal Medicine
1605 MARTIN SPRINGS DR STE 230
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.

What insurance does James Spaw accept?

Health plans from Blue Cross and Blue Shield of Texas and Medica 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.