ERIC EUGENE SPOHN – Psychiatric/Mental Health Nurse Practitioner, NPI 1104580711

ERIC EUGENE SPOHN is a healthcare provider. based in Osceola, Indiana. specializing in NURSE PRACTITIONER. They hold a License No. 71011771A (IN). The NPI Number for ERIC EUGENE SPOHN is 1104580711

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
ERIC EUGENE SPOHN
NPI
1104580711
Phone
(574) 855-7789
Address
10176 HEATHER LAKE DR
Enumeration Date
29 October 2021
Last Update Date
29 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5745331234
Graduation Year
2020 (6 years ago)
PAC ID
8022407774
Group Practice PAC ID
6002801065
Professional Enrollment ID
I20211118000331
Address ID
IN465171533EL2600XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,191 NURSE PRACTITIONER in IN

Provider Addresses for ERIC EUGENE SPOHN

  • 10176 HEATHER LAKE DR

    OSCEOLA, IN 465618897

    Phone: (574) 855-7789

    Type: Mailing

  • 990 ILLINOIS ST

    PLYMOUTH, IN 465633622

    Phone: (574) 936-9646

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $862.

Total Amount is formed as General ($862) + Research ($0) + Ownership ($0) = $862.

Last reported payment date: 2024-09-03 • Largest payer in this snapshot: ABBVIE INC. ($255).

Total Amount

$862

General + Research + Ownership

Payments

44

Total payment records

General Amount

$862

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-03

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: 2021-11-18

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
I20211118000331INurse PractitionerINTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes13074$0
View full utilization report →

Insurance plans in this area (ZIP 46561)

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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: 6002801065View full group profile
NameSpecialtyState
Mental Health CounselorIN
-IN
Clinical Social WorkerIN
Clinical Social WorkerIN
-IN
P S Y C H I A T R YIN
Clinical PsychologistIN
Nurse PractitionerIN
Clinical Social WorkerIN
Nurse PractitionerIN

Reviews

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Frequently asked questions

What number should I use to identify ERIC EUGENE SPOHN for billing?
Administrative and clinical systems typically use NPI 1104580711 for ERIC EUGENE SPOHN.
Is ERIC EUGENE SPOHN's NPI status active today?
Active status means ERIC EUGENE SPOHN's NPI record is not deactivated in the public file.
How should patients interpret ERIC EUGENE SPOHN's specialty?
The extract shows Psychiatric/Mental Health Nurse Practitioner for ERIC EUGENE SPOHN. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ERIC EUGENE SPOHN?
ERIC EUGENE SPOHN is associated with Osceola, Indiana in the same public data insurers reference.
Can I export ERIC EUGENE SPOHN's record?
You can download the official NPPES record; we summarize key fields for readability.

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