Individual provider Active NPI

Katie Lynn Spickler, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Struthers, OH
National Provider Identifier
1699497156
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0032275 Issued in OH
Practice address
520 Youngstown Poland Rd
Struthers, OH 44471-1103
Phone
(330) 318-3078
NPI assigned
Sep 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0032275 OH Primary

Addresses

Primary practice location

520 Youngstown Poland Rd
Struthers, OH 44471-1103

Mailing address

520 Youngstown Poland Rd
Struthers, OH 44471-1103
Phone (330) 318-3078

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
I20221024000815 OH Practitioner - Nurse Practitioner 8022484617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psy-Care, Inc.Group PAC ID 9335136795, 29 clinicians

Practice addresses (Care Compare)

520 Youngstown Poland Rd
Struthers, OH 44471-1103
Phone (330) 318-3078

Merit-based Incentive Payment System (MIPS)

Final score
41.34 of 100Reported as group
Quality
20.12
Improvement activities
0
Cost
84.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0032275OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psy-Care Inc Psychiatric/Mental Health CurrentSince Oct 12, 2022 Accepting new patients
Psycare, Inc. CurrentSince Oct 12, 2022 Accepting new patients

Locations

520 Youngstown Poland Rd
Struthers, OH 44471
Phone (330) 318-3078

2980 Belmont Ave
Youngstown, OH 44505
Phone (330) 759-0276

Interoperability endpoints

  • Direct secure messaging: katie.spickler@7889b014.micromddirect.com

Organizations & group practices 2

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": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1699497156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 YOUNGSTOWN POLAND RD",
            "city": "STRUTHERS",
            "state": "OH",
            "postal_code": "444711103",
            "telephone_number": "330-318-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 YOUNGSTOWN POLAND RD",
            "city": "STRUTHERS",
            "state": "OH",
            "postal_code": "444711103",
            "telephone_number": "330-318-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICKLER",
        "first_name": "KATIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0032275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Struthers, OH

Sources for this page

Verify at the official NPI Registry.