ROBERT STORM SPEELMAN (APRN) – Nurse Practitioner, NPI 1104431352

ROBERT STORM SPEELMAN (APRN) is a healthcare provider. based in Newark, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. F08200391 (OH). The NPI Number for ROBERT STORM SPEELMAN (APRN) is 1104431352

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT STORM SPEELMAN (APRN)
NPI
1104431352
Phone
(740) 334-0961
Address
1155 SAXONY DR
Enumeration Date
14 September 2020
Last Update Date
15 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2205644000
Graduation Year
2020 (6 years ago)
PAC ID
0840603817
Group Practice PAC ID
6204740731
Professional Enrollment ID
I20210112001194
Address ID
OH430551822NE1320XSTXX400

Contacts

Secure Messaging
rspeelman25621@lickingmemorial.medicity.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

14,989 NURSE PRACTITIONER in OH

Provider Addresses for ROBERT STORM SPEELMAN (APRN)

  • 1155 SAXONY DR

    NEWARK, OH 430555643

    Phone: (740) 334-0961

    Type: Mailing

  • 1320 W MAIN ST

    NEWARK, OH 430551822

    Phone: (220) 564-4144

    Fax: (220) 564-7153

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2021-01-12

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
I20210112001194INurse PractitionerOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes181173$0
99212Established patient office or other outpatient visit, 10-19 minutes5352$0
99283Emergency department visit with low level of medical decision making3535$0
99214Established patient office or other outpatient visit, 30-39 minutes1919$0
99284Emergency department visit with moderate level of medical decision making1616$0
View full utilization report →

Insurance plans in this area (ZIP 43055)

Loading plans...

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: 6204740731View full group profile
NameSpecialtyState
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
G A S T R O E N T E R O L O G YOH
G A S T R O E N T E R O L O G YOH
-OH
Emergency MedicineOH
-OH
-OH
Nurse PractitionerOH

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for ROBERT STORM SPEELMAN (APRN) in U.S. healthcare records?
The official identifier for ROBERT STORM SPEELMAN (APRN) is NPI 1104431352.
Would ROBERT STORM SPEELMAN (APRN) appear as active to a payer?
You can treat ROBERT STORM SPEELMAN (APRN) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with ROBERT STORM SPEELMAN (APRN)?
ROBERT STORM SPEELMAN (APRN)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is ROBERT STORM SPEELMAN (APRN) located near Newark?
ROBERT STORM SPEELMAN (APRN) currently maps to Newark, Ohio in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

Similar Providers

PATRICIA S MERRICK (CNP)

Nurse Practitioner
Licking Memorial Hospital, 1320, West Main Street, Newark, Licking County, Ohio, 43055, United States
NPI: 1841274586

BRENDA K AMES (CNP)

Nurse Practitioner
1930, Tamarack Road, Newark, Licking County, Ohio, 43055, United States
NPI: 1689765000

KRISTINE PLOTTS (APRN)

Family Nurse Practitioner
4101 Summit Rd SW
NPI: 1184895567

LARAINE BROOK KEMERY (APRN-CNP)

Family Nurse Practitioner
1320 WEST MAIN STREET
NPI: 1952605297

MISS JACLYNN PAULINE BACK (APRN)

Family Nurse Practitioner
2620 ELM HILL PIKE
NPI: 1770835506

LESLIE POWELL (PMHNP-BC)

Psychiatric/Mental Health Nurse Practitioner
1300 RANCHO DEL ORO RD
NPI: 1376975797

JENNIFER WHITE (NP)

Nurse Practitioner
1320 W Main St
NPI: 1710392923