Individual provider Active NPI

Maria Jean Sprunger, MSN,CNM

  • Advanced Practice Midwife
  • Paducah, KY
National Provider Identifier
1346591914
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
3007695 Issued in KY
Practice address
1532 Lone Oak Rd Ste 245
Paducah, KY 42003-7941
Phone
(270) 538-5700
NPI assigned
Sep 24, 2012
Last updated
Feb 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 3007695 KY
Advanced Practice Midwife 367A00000X 3007695 KY Primary

Addresses

Primary practice location

1532 Lone Oak Rd Ste 245
Paducah, KY 42003-7941

Mailing address

2200 Jefferson Ave FL 5
Toledo, OH 43604-7102

Other practice location 1

1000 S 12th St
Murray, KY 42071-9303
Phone (270) 792-9200

Other names 1

  • Maria Jean Canella Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180206001806 KY Practitioner - Certified Nurse Midwife (CNM) 2163717117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Kentucky Specialty Care LLCGroup PAC ID 1456777069, 144 clinicians

Practice addresses (Care Compare)

1532 Lone Oak Rd
Suite 245
Paducah, KY 42003-7941
Phone (270) 538-5700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Apr 11, 2021 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Apr 11, 2021 Accepting new patients
Mercy Health-Lourdes Hospital LLC Past Accepting new patients
Hope Unlimited Family Care Center Past Accepting new patients
Mercy Health Physicians Kentucky LLC Past Accepting new patients

Locations

1000 S 12th St
Murray, KY 42071
Phone (270) 759-9200

1532 Lone Oak Rd
Ste 245
Paducah, KY 42003
Phone (270) 538-5537

1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830

Interoperability endpoints

  • Direct secure messaging: msprunger645828@direct.bsmhealth.org

Organizations & group practices 5

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1346591914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE FL 5",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 LONE OAK RD STE 245",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037941",
            "telephone_number": "270-538-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 S 12th St",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "KY",
            "postal_code": "420719303",
            "country_code": "US",
            "telephone_number": "270-792-9200",
            "fax_number": "270-792-9966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRUNGER",
        "first_name": "MARIA",
        "middle_name": "JEAN",
        "credential": "MSN,CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-24",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "KY",
            "license": "3007695",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "KY",
            "license": "3007695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "CANELLA",
            "middle_name": "JEAN",
            "credential": "MSN,CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.