Individual provider Active NPI

Cristen Adams Spoden, APRN-CNP

  • Family Nurse Practitioner
  • Vermilion, OH
National Provider Identifier
1215418256
Registry record updated Dec 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.022173 Issued in OH
Practice address
1607 State Rd Ste 6
Vermilion, OH 44089-9142
Phone
(440) 967-8713
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.022173 OH Primary

Addresses

Primary practice location

1607 State Rd Ste 6
Vermilion, OH 44089-9142

Mailing address

31605 Woodbridge Way
Avon Lake, OH 44012-4038
Phone (440) 590-2149

Other identifiers 2

IdentifierTypeStateIssuer
0311697MedicaidOH
3025372MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180912001972 OH Practitioner - Nurse Practitioner 7911257969 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.022173OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc CurrentSince Mar 1, 2020 Accepting new patients
Mercy Health Physicians Lorain, LLC CurrentSince Sep 10, 2018 Accepting new patients
Mercy Health-Allen Hospital LLC Current Accepting new patients
University Primary Care Practices Inc CurrentSince Mar 1, 2020 Accepting new patients
Mercy Health-Allen Hospital LLC CurrentSince Sep 10, 2018 Accepting new patients
Mercy Health Physicians, Lorain, LLC CurrentSince Sep 10, 2018 Accepting new patients
Mercy Health-Allen Hospital LLC Past Accepting new patients

Locations

578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912

1480 Center Rd
Ste B
Avon, OH 44011
Phone (440) 406-5811

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

105 Opportunity Way
Lagrange, OH 44050
Phone (440) 222-4160

3600 Kolbe Rd
Ste 106
Lorain, OH 44053
Phone (440) 222-4970

1607 State Route 60
Ste 6
Vermilion, OH 44089
Phone (440) 934-8344

840 Patriot Dr
Wellington, OH 44090
Phone (440) 647-2225

Interoperability endpoints

  • Direct secure messaging: cspoden28122@ehrdirect.uhhospitals.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608336000000",
    "number": "1215418256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31605 WOODBRIDGE WAY",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440124038",
            "telephone_number": "440-590-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 STATE RD STE 6",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440899142",
            "telephone_number": "440-967-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPODEN",
        "first_name": "CRISTEN",
        "middle_name": "ADAMS",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0311697",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3025372",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vermilion, OH

Sources for this page

Verify at the official NPI Registry.