DELORIS ALICE SPARKMAN – Family Nurse Practitioner, NPI 1184490666

DELORIS ALICE SPARKMAN is a healthcare provider. based in Cornettsville, Kentucky. specializing in NURSE PRACTITIONER. They hold a License No. 4010254 (KY). The NPI Number for DELORIS ALICE SPARKMAN is 1184490666

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
DELORIS ALICE SPARKMAN
NPI
1184490666
Phone
(606) 216-8277
Address
31 Lauren Lane
Enumeration Date
27 November 2023
Last Update Date
19 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6064030001
Graduation Year
2023 (3 years ago)
PAC ID
1557712247
Group Practice PAC ID
3971415993
Professional Enrollment ID
I20240106000681
Address ID
KY418586100WH47XXXSXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for DELORIS ALICE SPARKMAN

  • 31 Lauren Lane

    Cornettsville, KY 417314173

    Phone: (606) 216-8277

    Type: Location

  • PO BOX 606

    CORNETTSVILLE, KY 417310606

    Phone: (606) 216-8277

    Type: Mailing

  • 101 TOWN AND COUNTRY LN

    HAZARD, KY 417019524

    Phone: (606) 439-1300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $52.

Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($37).

Total Amount

$52

General + Research + Ownership

Payments

2

Total payment records

General Amount

$52

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-01-06

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
I20240106000681INurse PractitionerKYTBD

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 41731)

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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: 3971415993View full group profile
NameSpecialtyState
-KY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Physician AssistantKY
Nurse PractitionerKY
Physician AssistantKY

Reviews

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Frequently asked questions

What federal number belongs to DELORIS ALICE SPARKMAN?
The federal identifier for DELORIS ALICE SPARKMAN is NPI 1184490666.
Is DELORIS ALICE SPARKMAN's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DELORIS ALICE SPARKMAN?
The page reflects Family Nurse Practitioner for DELORIS ALICE SPARKMAN. Clinical services aligned with this taxonomy classification.
What location shows for DELORIS ALICE SPARKMAN?
We surface Cornettsville, Kentucky for DELORIS ALICE SPARKMAN based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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