MR. EMMITT T SPRADLIN (NP) – Nurse Practitioner, NPI 1295039964

MR. EMMITT T SPRADLIN (NP) is a healthcare provider. based in Novi, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704213046 (MI). The NPI Number for MR. EMMITT T SPRADLIN (NP) is 1295039964

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
MR. EMMITT T SPRADLIN (NP)
NPI
1295039964
Phone
(248) 898-5000
Address
45297 DUNBARTON DR
Enumeration Date
10 January 2011
Last Update Date
27 January 2014

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3132776700
Graduation Year
2004 (22 years ago)
PAC ID
6406039189
Group Practice PAC ID
0749219921
Professional Enrollment ID
I20110318000320
Address ID
MI481242339DE21031AVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for MR. EMMITT T SPRADLIN (NP)

  • 45297 DUNBARTON DR

    NOVI, MI 483753811

    Phone: (248) 898-5000

    Mailing address matches the actual address.

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: 2011-03-18

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
I20110318000320INurse 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 48375)

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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: 0749219921View full group profile
NameSpecialtyState
Physician AssistantMI
Orthopedic SurgeryMI

Reviews

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Frequently asked questions

Can I use this page to confirm MR. EMMITT T SPRADLIN (NP)'s NPI?
Yes. MR. EMMITT T SPRADLIN (NP) is listed with NPI 1295039964 in the public NPI dataset.
Is MR. EMMITT T SPRADLIN (NP) still practicing?
MR. EMMITT T SPRADLIN (NP) is currently listed as active in the public NPI registry.
What healthcare role does MR. EMMITT T SPRADLIN (NP) hold?
Scheduling teams often label MR. EMMITT T SPRADLIN (NP) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MR. EMMITT T SPRADLIN (NP) list a practice location?
Patients near Novi, Michigan may find MR. EMMITT T SPRADLIN (NP) in results; validate coverage separately.
Is the information about MR. EMMITT T SPRADLIN (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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