Tricia Jayne Spoonmore, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71000199A Issued in IN

Practice address

629 Lincoln Ave
Bedford, IN 47421-2142

Phone

(812) 675-4470

Fax

(812) 675-4469

NPI assigned

Jun 11, 2006

Sex

Female

Sole proprietor

No

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.

• Southern Indiana Community Health Care, Inc

  • Family Medicine Physician
  • Paoli, IN
  • NPI 1427171057

  IN

  Medicare reassignment Care Compare group NPD
• Southern Indiana Community Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Bedford, IN
  • NPI 1407566631
  Care Compare group NPD
• Southern Indiana Community Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Mitchell, IN
  • NPI 1427768647
  Care Compare group NPD
• Southern Indiana Community Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Orleans, IN
  • NPI 1356911390
  Care Compare group NPD (past)
• Southern Indiana Community Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Paoli, IN
  • NPI 1386151371
  Care Compare group
• Southern Indiana Community Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • English, IN
  • NPI 1629585591
  Care Compare group
• Southern Indiana Community Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Salem, IN
  • NPI 1639772353
  Care Compare group
• Southern Indiana Community Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • West Baden Springs, IN
  • NPI 1841706868
  Care Compare group
• Southern Indiana Community Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Marengo, IN
  • NPI 1902313992
  Care Compare group
• Ramesh B. Kalari, MD, SC.

  • Gastroenterology Physician
  • Bedford, IN
  • NPI 1821096108
  NPD (past)
• Southern Indiana Community Health Care, Inc

  • Family Medicine Physician
  • English, IN
  • NPI 1457474009
  NPD (past)

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

• Indiana University Health Bedford, Inc

  • Critical Access Hospital
  • Bedford, IN
  • NPI 1548260284

  Hospital

  Care Compare affiliation
• Indiana University Health Bedford, Inc.

  • Ambulance
  • Bedford, IN
  • NPI 1346218799

  Hospital

  Care Compare affiliation
• Indiana University Health Paoli Inc

  • Critical Access Hospital
  • Paoli, IN
  • NPI 1912984451

  Hospital

  Care Compare affiliation
• St. Vincent Home Care, LLC

  • Home Health Agency
  • Indianapolis, IN
  • NPI 1205875424
  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Indiana Community Health Care Inc 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension at Home Home health agency, Indianapolis, IN, CCN 157083
• Indiana University Health Bedford Hospital Hospital, Bedford, IN, CCN 151328
• Indiana University Health Paoli Hospital Hospital, Paoli, IN, CCN 151306

Medicare fee-for-service enrollment

Enrolled in IN

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: triciaspoonmore@sichc.allscriptsdirect.net

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 24, 2024.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1902848583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 LINCOLN AVE",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474212142",
            "telephone_number": "812-675-4470",
            "fax_number": "812-675-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 LINCOLN AVE",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474212142",
            "telephone_number": "812-675-4470",
            "fax_number": "812-675-4469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2415B Mitchell Rd",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "IN",
            "postal_code": "474214731",
            "country_code": "US",
            "telephone_number": "812-276-1305",
            "fax_number": "812-276-1304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2409 Mitchell Rd",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "IN",
            "postal_code": "474214731",
            "country_code": "US",
            "telephone_number": "812-275-3377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPOONMORE",
        "first_name": "TRICIA",
        "middle_name": "JAYNE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71000199A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200094460",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Indiana General Surgery Inc
• Southern Indiana Work Team LLC
• Jennifer L. Southern, PTA
• James Ira Sowders, OD
• Amy E Spires, PT
• St Vincent Dunn Hospital Inc
• St Vincent Dunn Hospital Inc
• St Vincent Dunn Hospital Inc
• St. Vincent Dunn Hospital Inc.
• St. Vincent Dunn Hospital, Inc.

• All providers in Bedford, IN
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.