JOSEPH III SPAGNOLA (NP, FPA, PMHNP-BC) – Nurse Practitioner, NPI 1649760083

JOSEPH III SPAGNOLA (NP, FPA, PMHNP-BC) is a healthcare provider. based in Berwyn, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP, FPA, PMHNP-BC. They hold a License No. 209017357 (IL). The NPI Number for JOSEPH III SPAGNOLA (NP, FPA, PMHNP-BC) is 1649760083

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH III SPAGNOLA (NP, FPA, PMHNP-BC)
NPI
1649760083
Phone
(708) 783-9100
Address
3249 OAK PARK AVE
Enumeration Date
11 May 2018
Last Update Date
8 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6302622640
Graduation Year
2017 (9 years ago)
PAC ID
9436408150
Group Practice PAC ID
1052477981
Professional Enrollment ID
I20180814001031
Address ID
IL601741745SA1024XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for JOSEPH III SPAGNOLA (NP, FPA, PMHNP-BC)

  • MacNeal Hospital, 3249, Oak Park Avenue, Berwyn, Cook County, Illinois, 60402, United States

    BERWYN, IL 604023429

    Phone: (708) 783-9100

    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 63 Open Payments records for all available years, with a total value of $2,637.

Total Amount is formed as General ($2,637) + Research ($0) + Ownership ($0) = $2,637.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($567).

Total Amount

$2,637

General + Research + Ownership

Payments

63

Total payment records

General Amount

$2,637

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2018-08-14

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
I20180814001031INurse PractitionerILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60402)

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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: 1052477981View full group profile
NameSpecialtyState
Mental Health CounselorIL
Mental Health CounselorIL
P S Y C H I A T R YIL
Nurse PractitionerIL
Mental Health CounselorIL
Nurse PractitionerIA
Nurse PractitionerIL
Clinical Social WorkerIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

What unique ID ties claims to JOSEPH III SPAGNOLA (NP, FPA, PMHNP-BC)?
NPI 1649760083 is assigned to JOSEPH III SPAGNOLA (NP, FPA, PMHNP-BC) under the national enumeration system.
Is JOSEPH III SPAGNOLA (NP, FPA, PMHNP-BC)'s NPI currently valid?
The extract we use shows JOSEPH III SPAGNOLA (NP, FPA, PMHNP-BC) as active.
Can you summarize JOSEPH III SPAGNOLA (NP, FPA, PMHNP-BC)'s specialty in plain language?
Clinically, the directory lists JOSEPH III SPAGNOLA (NP, FPA, PMHNP-BC) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is JOSEPH III SPAGNOLA (NP, FPA, PMHNP-BC)'s primary listing?
We display Berwyn, Illinois because that is what the record indicates for JOSEPH III SPAGNOLA (NP, FPA, PMHNP-BC).
What if Berwyn, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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