KIMBERLY SUE SPROTT CNS
NPI 1861882805
Clinical Nurse Specialist in Columbus, OH

Active since January 29, 2015PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
3525 OLENTANGY RIVER RD, SUITE 6300, COLUMBUS, OH 43214(614) 566-3175(614) 566-3125 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 21, 2021, Nov 20, 2015 (2 updates tracked since 2015).

About Kimberly Sue Sprott Cns NPPES

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

KIMBERLY SUE SPROTT CNS (NPI 1861882805) is an individual clinical nurse specialist in Columbus, Ohio, licensed in Ohio (APRN.CNS.16881) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1861882805
Entity TypeIndividualFemale
Primary Taxonomy364S00000X
Provider Legal NameKIMBERLY SUE SPROTTCredential: CNS
Location Address3525 OLENTANGY RIVER RD, SUITE 6300Columbus, OH 43214-3937
Mailing AddressPo Box 7527Dublin, OH 43017-0727
Fax(614) 566-3125
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 29, 2015
Last NPPES UpdateOctober 21, 20212 updates tracked since enumeration
NPPES CertifiedOctober 21, 2021
NPI 1861882805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364S00000X
License Licensed in OH · APRN.CNS.16881
Definition

A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.

3525 OLENTANGY RIVER RD, Columbus, OH 43214

Other Identifiers 1

Medicaid0119936OH

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

Kimberly Sue Sprott Cns 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 ID4880911635
PECOS Enrollment IDI20150316002640
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
97 services58 patients
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.
48 services44 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.
23 services22 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
17 services14 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43214 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

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.

Radiology (Diagnostic Radiology)
3525 OLENTANGY RIVER RD, STE 5360
COLUMBUS, OH 43214
Radiology (Diagnostic Radiology)
3525 OLENTANGY RIVER RD, STE 5360
COLUMBUS, OH 43214
Radiology (Diagnostic Radiology)
3525 OLENTANGY RIVER RD, STE 5360
COLUMBUS, OH 43214
Radiology (Diagnostic Radiology)
3525 OLENTANGY RIVER RD, STE 5360
COLUMBUS, OH 43214
Radiology (Diagnostic Radiology)
3525 OLENTANGY RIVER RD, STE 5360
COLUMBUS, OH 43214
Hospitalist
3525 OLENTANGY RIVER RD, SUITE 4330
COLUMBUS, OH 43214
Radiology (Nuclear Radiology)
3525 OLENTANGY RIVER RD, STE 5360
COLUMBUS, OH 43214
Internal Medicine (Cardiovascular Disease)
3525 OLENTANGY RIVER RD, SUITE 6300
COLUMBUS, OH 43214

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861882805, enumerated as an "individual" on January 29, 2015.

The provider is located at 3525 OLENTANGY RIVER RD SUITE 6300 COLUMBUS, OH 43214 and the phone number is (614) 566-3175.

Clinical Nurse Specialist with taxonomy code 364S00000X.

The provider might be accepting Accepts: CareSource, MedMutual, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Kimberly Sprott is affiliated with: RIVERSIDE METHODIST HOSPITAL and GRANT MEDICAL CENTER.