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KRISTEN SPILLANE
NPI 1932087053
Nurse Practitioner - Psychiatric/Mental Health in Hellertown, PA

Active since August 26, 2025PECOS EnrolledAccepts Medicare Assignment
120 W BUTTERNUT RD, HELLERTOWN, PA 18055(808) 227-7755 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kristen Spillane NPPES

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

KRISTEN SPILLANE (NPI 1932087053) is an individual psychiatric/mental health provider in Hellertown, Pennsylvania, licensed in Pennsylvania (RN587500) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1932087053
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKRISTEN SPILLANE
Location Address120 W BUTTERNUT RDHellertown, PA 18055-9711
Mailing Address120 W Butternut RdHellertown, PA 18055-9711 · (808) 227-7755
Phone(808) 227-7755
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1932087053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · RN587500
120 W BUTTERNUT RD, Hellertown, PA 18055
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Kristen Spillane 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 ID1850887357
PECOS Enrollment IDI20260105002987
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 Kristen Spillane reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Silver Willow Wellness PC
44 mi
Geriatric Medicine
2395 LANCASTER PIKE FL 1
Reading, PA 19607
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 137 clinicians in this Medicare group
NPI 1659164697 (585) 233-2817
Vital Healthcare Solutions
45 mi
Psychiatry
300 WINDMILL RD
Sinking Springs, PA 19608
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 166 clinicians in this Medicare group
NPI 1659736957 (814) 505-7060

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 18055 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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 Kristen Spillane's NPI number?

The NPI number for Kristen Spillane is 1932087053. It was assigned to this individual provider in the NPPES registry on August 26, 2025.

Where is Kristen Spillane located?

Kristen Spillane practices at 120 W Butternut Rd, Hellertown, PA 18055. The listed phone number is (808) 227-7755.

What is Kristen Spillane's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kristen Spillane enrolled in Medicare?

Yes. Kristen Spillane 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 Kristen Spillane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Spillane reassigns Medicare benefits to 2 organizations: Silver Willow Wellness PC (Reading, PA) and Vital Healthcare Solutions (Sinking Springs, PA). 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 Kristen Spillane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristen Spillane accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kristen Spillane 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 Kristen Spillane was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.