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ANDREA SPAULDING CNM
NPI 1992354211
Advanced Practice Midwife in Bay City, MI

Active since September 09, 2019PECOS EnrolledAccepts Medicare Assignment
3175 PROFESSIONAL CT, BAY CITY, MI 48706(989) 667-3377(989) 667-9991 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2023, Jul 27, 2022, Jun 17, 2020 and 1 more (4 updates tracked since 2019).

About Andrea Spaulding Cnm NPPES

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

ANDREA SPAULDING CNM (NPI 1992354211) is an individual advanced practice midwife in Bay City, Michigan, licensed in Michigan (4704296764) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Oakland College Of Medicine And Surgery (2019).

NPPES Registry Identity

NPI1992354211
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameANDREA SPAULDINGCredential: CNM
Location Address3175 PROFESSIONAL CTBay City, MI 48706-2823
Mailing Address501 Lapeer AveSaginaw, MI 48607-1203
Phone(989) 667-3377
Fax(989) 667-9991
Sole ProprietorNo
Medical School CMSOakland College Of Medicine And SurgeryGraduated 2019
Enumeration DateSeptember 9, 2019
Last NPPES UpdateDecember 14, 20234 updates tracked since enumeration
NPPES CertifiedDecember 14, 2023
✔ NPI 1992354211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in MI · 4704296764
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
3175 PROFESSIONAL CT, Bay City, MI 48706
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Secondary Practice Locations 2

Location 13016 W WackerlyMidland, MI 48640-8964 · Phone (989) 631-6730
Location 24000 Wellness DrMidland, MI 48670-8964 · Phone (844) 832-1956

Accepted Insurance

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

Andrea Spaulding Cnm 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 ID2264854777
PECOS Enrollment IDI20200629002538
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 48706 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 6

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

DANIELLE CLARICE BREMER CNM
Advanced Practice Midwife
3175 PROFESSIONAL CT
BAY CITY, MI 48706
Bay County (989) 667-3377
BECKY A LANG M.D.
Obstetrics & Gynecology
3175 PROFESSIONAL CT
BAY CITY, MI 48706
Bay County (989) 667-3377
ANGELA MATHERNE LMSW
Social Worker (Clinical)
3175 PROFESSIONAL CT
BAY CITY, MI 48706
Bay County (989) 667-3377
MCLAREN MEDICAL GROUP
Advanced Practice Midwife
3175 PROFESSIONAL CT
BAY CITY, MI 48706
Bay County (989) 667-6325
TESSA MARIE KIRKLIN CNM
Advanced Practice Midwife
3175 PROFESSIONAL CT
BAY CITY, MI 48706
Bay County (989) 667-3377
BROOKE MOORE LLMSW
Social Worker
3175 PROFESSIONAL CT
BAY CITY, MI 48706
Bay County (989) 667-3377

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 Andrea Spaulding's NPI number?

The NPI number for Andrea Spaulding is 1992354211. It was assigned to this individual provider in the NPPES registry on September 9, 2019.

Where is Andrea Spaulding located?

Andrea Spaulding practices at 3175 Professional Ct, Bay City, MI 48706. The listed phone number is (989) 667-3377.

What is Andrea Spaulding's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Andrea Spaulding enrolled in Medicare?

Yes. Andrea Spaulding 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.

What insurance does Andrea Spaulding accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Andrea Spaulding 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 Andrea Spaulding was last updated on December 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.