JOSHUA SPARKS – Family Nurse Practitioner, NPI 1902604168

JOSHUA SPARKS is a healthcare provider. based in Staffordsville, Kentucky. specializing in NURSE PRACTITIONER. They hold a License No. 1151265 (KY). The NPI Number for JOSHUA SPARKS is 1902604168

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
JOSHUA SPARKS
NPI
1902604168
Phone
(606) 367-8100
Address
205 LEFT FORK OF GRASSY CRK
Enumeration Date
4 March 2025
Last Update Date
31 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6063720221
Graduation Year
2025 (1 year ago)
PAC ID
6305354879
Group Practice PAC ID
7719882521
Professional Enrollment ID
I20250805003010
Address ID
KY412400000PA354XXTRAI400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:1State licenses:2Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for JOSHUA SPARKS

  • 205 LEFT FORK OF GRASSY CRK

    STAFFORDSVILLE, KY 412569109

    Phone: (606) 367-8100

    Type: Mailing

  • 5000 KY-321

    PRESTONSBURG, KY 41653

    Phone: (606) 889-3159

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-08-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20250805002616INurse PractitionerOHTBD
I20250805003010INurse 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 41256)

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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: 7719882521View full group profile

Reviews

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Frequently asked questions

What is JOSHUA SPARKS's NPI number?
JOSHUA SPARKS's NPI is 1902604168 — the number used across U.S. healthcare to identify this provider.
Is there an active status for JOSHUA SPARKS?
For scheduling context, JOSHUA SPARKS is shown as active in the registry.
What expertise is attributed to JOSHUA SPARKS?
JOSHUA SPARKS's specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JOSHUA SPARKS located near Staffordsville?
JOSHUA SPARKS currently maps to Staffordsville, Kentucky in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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