NPIMap

Individual provider Active NPI

Autumn Jade Spellmeier, APRN

  • Family Nurse Practitioner
  • Goodland, KS
National Provider Identifier
1982087631
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-76843-091 Issued in KS
Practice address
106 Willow Rd
Goodland, KS 67735-1518
Phone
(785) 890-6075
Fax
(785) 890-6077
NPI assigned
Jun 30, 2015
Last updated
May 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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 53-76843-091 KS Primary

Addresses

Primary practice location

106 Willow Rd
Goodland, KS 67735-1518

Mailing address

106 Willow Rd
Goodland, KS 67735-1518
Phone (785) 890-4012

Other identifiers 2

IdentifierTypeStateIssuer
201118440AMedicaidKS
1982087631OtherKSBCBS

Other names 1

  • Autumn Jade Mosier Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150831000373 KS Practitioner - Nurse Practitioner 6608182159 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goodland Regional Medical CenterGroup PAC ID 3375535263, shared by 4 NPIs, 22 clinicians

Practice addresses (Care Compare)

106 Willow Rd
Goodland, KS 67735-1518
Phone (785) 890-6012

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-76843-091KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Goodland Regional Medical Center CurrentSince Jul 20, 2015 Accepting new patients
Goodland Regional Medical Center Current Accepting new patients
Goodland Regional Medical Center Current Accepting new patients
Goodland Regional Medical Center CurrentSince Jul 20, 2015 Accepting new patients

Locations

106 Willow Rd
Goodland, KS 67735
Phone (785) 890-6012

220 W 2nd St
Goodland, KS 67735
Phone (785) 890-3625

Interoperability endpoints

  • Direct secure messaging: autumn.spellmeier.1@13372.direct.athenahealth.com
  • Direct secure messaging: autumn.spellmeier.1@17074.direct.athenahealth.com
  • Direct secure messaging: autumn.spellmeier@khindirect.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 3

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": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1982087631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 WILLOW RD",
            "city": "GOODLAND",
            "state": "KS",
            "postal_code": "677351518",
            "telephone_number": "785-890-4012",
            "fax_number": "785-890-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 WILLOW RD",
            "city": "GOODLAND",
            "state": "KS",
            "postal_code": "677351518",
            "telephone_number": "785-890-6075",
            "fax_number": "785-890-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELLMEIER",
        "first_name": "AUTUMN",
        "middle_name": "JADE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-76843-091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201118440A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1982087631",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUTUMN",
            "last_name": "MOSIER",
            "middle_name": "JADE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goodland, KS

Sources for this page

Verify at the official NPI Registry.