MRS. ROSE MARY NOETZEL SPELLMAN (FNP-C) – Nurse Practitioner, NPI 1154808418

MRS. ROSE MARY NOETZEL SPELLMAN (FNP-C) is a healthcare provider. based in Gaylord, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 4704342679 (MI). The NPI Number for MRS. ROSE MARY NOETZEL SPELLMAN (FNP-C) is 1154808418

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ROSE MARY NOETZEL SPELLMAN (FNP-C)
NPI
1154808418
Phone
(989) 731-7870
Address
829 N CENTER AVE STE 140
Enumeration Date
19 July 2018
Last Update Date
3 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
51773141111
Graduation Year
2018 (8 years ago)
PAC ID
2567713860
Group Practice PAC ID
8325942535
Professional Enrollment ID
I20180926001114
Address ID
MI497350000GA1996XWALD201

Contacts

Secure Messaging
rose.spellman@omhmedicalgroup.directbygreenway.com
Secure Messaging
delavega@theoriamedical.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for MRS. ROSE MARY NOETZEL SPELLMAN (FNP-C)

  • North Center Avenue, Gaylord, Otsego County, Michigan, 49732, United States

    GAYLORD, MI 497351598

    Phone: (989) 731-7870

    Type: Mailing

  • 1728 S PENINSULA RD

    EAST JORDAN, MI 497279410

    Phone: (315) 362-2862

    Fax: (231) 536-2476

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $570.

Total Amount is formed as General ($570) + Research ($0) + Ownership ($0) = $570.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: ABBVIE INC. ($130).

Total Amount

$570

General + Research + Ownership

Payments

31

Total payment records

General Amount

$570

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

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: 2018-09-26

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
I20180926001114INurse PractitionerMITBD

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 49735)

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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: 8325942535View full group profile
NameSpecialtyState
Family PracticeMI
-MI
Internal MedicineMI
Orthopedic SurgeryMI
Nurse PractitionerMI
Nurse PractitionerMI
Certified Registered Nurse Anesthetist (Crna)MI
Emergency MedicineMI
Physician AssistantMI
Physician AssistantMI

Reviews

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Frequently asked questions

Does MRS. ROSE MARY NOETZEL SPELLMAN (FNP-C) have a public NPI I can cite?
Public records show MRS. ROSE MARY NOETZEL SPELLMAN (FNP-C) under NPI 1154808418.
Quick check: is MRS. ROSE MARY NOETZEL SPELLMAN (FNP-C) active?
Public NPPES data shows MRS. ROSE MARY NOETZEL SPELLMAN (FNP-C) with an active NPI status right now.
Which specialty label fits MRS. ROSE MARY NOETZEL SPELLMAN (FNP-C)?
NPPES ties MRS. ROSE MARY NOETZEL SPELLMAN (FNP-C) to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. ROSE MARY NOETZEL SPELLMAN (FNP-C)?
The directory associates MRS. ROSE MARY NOETZEL SPELLMAN (FNP-C) with Gaylord, Michigan. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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