Individual provider Active NPI

Renee Spradlin, APRN

  • Family Nurse Practitioner
  • Winchester, KY
National Provider Identifier
1962043612
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3013808 Issued in KY
Practice address
480 Bullion Blvd
Winchester, KY 40391-2933
Phone
(859) 385-4222
NPI assigned
Oct 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 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 3013808 KY Primary

Addresses

Primary practice location

480 Bullion Blvd
Winchester, KY 40391-2933

Mailing address

119 Walnut Creek Dr
Georgetown, KY 40324-8033
Phone (859) 552-2578

Other practice location 1

310 S Limestone A414
Lexington, KY 40508-3008
Phone (859) 226-7006

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191104000957 KY Practitioner - Nurse Practitioner 1759613268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of KentuckyGroup PAC ID 3072425289, 778 clinicians

Practice addresses (Care Compare)

310 S Limestone
Lexington, KY 40508-3008
Phone (859) 226-7078

Hospital & facility affiliations

  • University of Kentucky Hospital Hospital, Lexington, KY, CCN 180067

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
78.19
Promoting interoperability
100
Improvement activities
40
Cost
70.17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Medical, LLC CurrentSince Oct 4, 2019 Accepting new patients
University of Kentucky CurrentSince Mar 14, 2020 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Oct 4, 2019 Accepting new patients
University of Kentucky Past Accepting new patients
Kentucky Medical Services Foundation, Inc Past Accepting new patients

Locations

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

310 S Limestone
Ste A414
Lexington, KY 40508

740 S Limestone
Lexington, KY 40536
Phone (859) 257-3533

310 S Limestone
#A414
Lexington, KY 40508
Phone (859) 226-7006

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

480 Bullion Blvd
#B
Winchester, KY 40391
Phone (859) 385-4222

480 Bullion Blvd
Winchester, KY 40391
Phone (859) 385-4222

Interoperability endpoints

  • Direct secure messaging: rspradlin19497@ukhcdirect.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1962043612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 WALNUT CREEK DR",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248033",
            "telephone_number": "859-552-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 BULLION BLVD",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403912933",
            "telephone_number": "859-385-4222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 S Limestone A414",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405083008",
            "country_code": "US",
            "telephone_number": "859-226-7006",
            "fax_number": "859-226-7008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRADLIN",
        "first_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, KY

Sources for this page

Verify at the official NPI Registry.