KIMBERLY SPROULE
NPI 1952759540
Social Worker - Clinical in Swartz Creek, MI
About Kimberly Sproule NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY SPROULE (NPI 1952759540) is an individual clinical provider in Swartz Creek, Michigan, licensed in Michigan (6801079371) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (1995).
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
Kimberly Sproule 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 Reassignment
Medicare enrollment records show Kimberly Sproule reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Flint, MI 48504
- Reassigned Medicare billing, Michigan enrollment
- 14 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48473 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kimberly Sproule's NPI number?
The NPI number for Kimberly Sproule is 1952759540. It was assigned to this individual provider in the NPPES registry on May 25, 2016.
Where is Kimberly Sproule located?
Kimberly Sproule practices at 7058 Abbey Ln, Swartz Creek, MI 48473. The listed phone number is (810) 620-5193.
What is Kimberly Sproule's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kimberly Sproule enrolled in Medicare?
Yes. Kimberly Sproule 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 organization bills Medicare for Kimberly Sproule's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Sproule reassigns Medicare benefits to Consumer Services Inc. (Flint, MI). The 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 Kimberly Sproule's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Sproule accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Kimberly Sproule 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 Kimberly Sproule was last updated on May 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kimberly Sproule · NPI 1952759540
Clinical provider in Swartz Creek, Michigan. Individual provider, active in the CMS NPPES registry since May 25, 2016.
## Identity
- **NPI:** 1952759540 (Entity type: Individual)
- **Enumerated:** May 25, 2016
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 6801079371 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7058 ABBEY LN, Swartz Creek, MI 48473-1502
- **Phone:** (810) 620-5193
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Consumer Services Inc. (NPI 1346420973, Flint, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** May 25, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1952759540) · Data from the CMS NPPES public registry.