ANJELICA SPORER
NPI 1881460814
Nurse Practitioner - Family in Walled Lake, MI

Q: What is Anjelica Sporer's NPI number?

The NPI number for Anjelica Sporer is 1881460814. It was assigned to this individual provider in the NPPES registry on November 30, 2023.

Q: What is Anjelica Sporer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anjelica Sporer was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 30, 2023PECOS EnrolledAccepts Medicare Assignment

100 W WEST MAPLE RD, WALLED LAKE, MI 48390(866) 389-2727 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 3, 2025, Aug 20, 2024 (2 updates tracked since 2024).

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About Anjelica Sporer NPPES

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

ANJELICA SPORER (NPI 1881460814) is an individual family provider in Walled Lake, Michigan, licensed in Michigan (4704326530) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1881460814

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANJELICA SPORER

Location Address100 W WEST MAPLE RDWalled Lake, MI 48390-3402

Mailing Address33021 Garfield RdFraser, MI 48026-1800

Phone(866) 389-2727

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 30, 2023

Last NPPES UpdateNovember 3, 20252 updates tracked since enumeration

NPPES CertifiedNovember 3, 2025

✔ NPI 1881460814 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 MI · 4704326530

100 W WEST MAPLE RD, Walled Lake, MI 48390

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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

Anjelica Sporer 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 ID7810425089

PECOS Enrollment IDI20250115003459

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48390 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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 12

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

KARI MCAVOY N.P.

Nurse Practitioner (Family)