JACQUELINE SPANO (FNP) – Family Nurse Practitioner, NPI 1083752893

JACQUELINE SPANO (FNP) is a healthcare provider. based in Stratford, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 003535 (CT). The NPI Number for JACQUELINE SPANO (FNP) is 1083752893

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELINE SPANO (FNP)
NPI
1083752893
Phone
(203) 383-7735
Address
1 HAWLEY LN
Enumeration Date
2 February 2007
Last Update Date
21 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8663892727
Graduation Year
2006 (20 years ago)
PAC ID
9436228285
Group Practice PAC ID
0941382113
Professional Enrollment ID
I20080520000092
Address ID
CT060743746SO525XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,191 NURSE PRACTITIONER in CT

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Provider Addresses for JACQUELINE SPANO (FNP)

  • 1, Hawley Lane, Trumbull, Fairfield County, Connecticut, 06614, United States

    STRATFORD, CT 066141200

    Phone: (203) 383-7735

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $726.

Total Amount is formed as General ($726) + Research ($0) + Ownership ($0) = $726.

Last reported payment date: 2024-06-06 • Largest payer in this snapshot: ABBVIE INC. ($249).

Total Amount

$726

General + Research + Ownership

Payments

6

Total payment records

General Amount

$726

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-06

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-05-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080520000092INurse PractitionerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0008Administration of influenza virus vaccine2929$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage2727$0
99213Established patient office or other outpatient visit, 20-29 minutes2423$0
99203New patient office or other outpatient visit, 30-44 minutes2020$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1717$0
View full utilization report →

Insurance plans in this area (ZIP 06614)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941382113View full group profile

Reviews

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Frequently asked questions

Is JACQUELINE SPANO (FNP) listed with a National Provider Identifier?
Yes — JACQUELINE SPANO (FNP) has NPI 1083752893 on file in the registry.
Would JACQUELINE SPANO (FNP) appear as active to a payer?
You can treat JACQUELINE SPANO (FNP) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JACQUELINE SPANO (FNP)?
At a glance, JACQUELINE SPANO (FNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JACQUELINE SPANO (FNP)?
Travel planning: use Stratford, Connecticut as the reference point for JACQUELINE SPANO (FNP), then confirm.
Can I trust this NPI listing for JACQUELINE SPANO (FNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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