RENEE SPRADLIN APRN NPI 1962043612

Nurse Practitioner (Family) in Winchester, KY

NPI 1962043612 Individual Female Years of Experience 3 Nurse Practitioner Family PECOS Enrolled Accepts Medicare Approved Payment

About RENEE SPRADLIN

Renee Spradlin is a provider established in Winchester, Kentucky and her medical specialization is nurse practitioner (family) with more than 3 years of experience. The NPI number of Renee Spradlin is 1962043612 and was assigned on October 2019. The practitioner's primary taxonomy code is 363LF0000X with license number 3013808 (KY). The provider is registered as an individual and her NPI record was last updated 2 years ago.

A nurse practitioner (NP) like Renee Spradlin Aprn is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Renee Spradlin is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Renee Spradlin is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with University Of Kentucky Hospital.

NPI

1962043612

Provider Name RENEE SPRADLIN APRN
Provider Location Address480 BULLION BLVD WINCHESTER, KY 40391
Provider Mailing Address119 WALNUT CREEK DR GEORGETOWN, KY 40324
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2019
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-03-2019
Last Update Date02-06-2020


Primary Taxonomy

Taxonomy Code363LF0000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily
License No.3013808
License StateKY

Business Address

RENEE SPRADLIN APRN
480 BULLION BLVD
WINCHESTER, KY
ZIP 40391
Phone: (859) 385-4222

Get Directions


Mailing Address

RENEE SPRADLIN APRN
119 WALNUT CREEK DR
GEORGETOWN, KY
ZIP 40324
Phone: (859) 552-2578



Secondary Locations

310 S Limestone A414
Lexington, KY 40508
(859) 226-7006

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID1759613268
PECOS Enrollment IDI20191104000957
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Renee Spradlin is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
UNIVERSITY OF KENTUCKY HOSPITAL800 ROSE STREET
LEXINGTON, KY 40536
(859) 257-2278Acute Care Hospitals180067

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518505189 ASHLEY KOHARI APRN
Individual
Nurse Practitioner (Family)480 BULLION BLVD
WINCHESTER, KY 40391
(859) 385-4222
1528678174 SABRINA FARMER APRN
Individual
Nurse Practitioner480 BULLION BLVD
WINCHESTER, KY 40391
(859) 385-4222
1245831585MS. SARAH DIANE DOERR APRN
Individual
Nurse Practitioner (Family)480 BULLION BLVD
WINCHESTER, KY 40391
(859) 385-4222

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.