JACKLYN ELAINE SPAGNOLETTI – Nurse Practitioner, NPI 1275189508
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,343 NURSE PRACTITIONER in KY
Provider Addresses for JACKLYN ELAINE SPAGNOLETTI
Casey County Hospital, 187, Wolford Avenue, Liberty, Casey County, Kentucky, 42539, United States
LIBERTY, KY 425393278
Phone: (606) 787-6275
Fax: (606) 787-0251
Type: Mailing
CASEY COUNTY PRIMARY CARE
187 WOLFORD AVENUE
LIBERTY, KY 425393278
Phone: (606) 787-8348
Fax: (606) 787-0251
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 110 Open Payments records for all available years, with a total value of $2,146.
Total Amount is formed as General ($2,146) + Research ($0) + Ownership ($0) = $2,146.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($495).
Total Amount
$2,146
General + Research + Ownership
Payments
110
Total payment records
General Amount
$2,146
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2020-04-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200430002651 | I | Nurse Practitioner | KY | TBD |
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.
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 42539)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | NJ | |
| - | KY | |
| Diagnostic Radiology | KY | |
| Emergency Medicine, Internal Medicine | KY | |
| Internal Medicine | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Emergency Medicine, Family Practice | KY | |
| Family Practice | KY |
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