MARISA SPOLTMAN (PA) – Physician Assistant, NPI 1972105443

MARISA SPOLTMAN (PA) is a healthcare provider. based in Coldwater, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for MARISA SPOLTMAN (PA) is 1972105443

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MARISA SPOLTMAN (PA)
NPI
1972105443
Phone
(567) 890-7185
Address
830 W MAIN ST
Enumeration Date
10 November 2020
Last Update Date
10 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4195866899
Graduation Year
2020 (6 years ago)
PAC ID
4688085913
Group Practice PAC ID
9133109903
Professional Enrollment ID
I20201118000349
Address ID
OH458222475CE950XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for MARISA SPOLTMAN (PA)

  • 830 W MAIN ST

    COLDWATER, OH 458281657

    Phone: (567) 890-7185

    Type: Mailing

  • 801 PRO DR STE A

    CELINA, OH 458223301

    Phone: (419) 586-3113

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $370.

Total Amount is formed as General ($370) + Research ($0) + Ownership ($0) = $370.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($77).

Total Amount

$370

General + Research + Ownership

Payments

21

Total payment records

General Amount

$370

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

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: 2020-11-18

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
I20201118000349IPhysician AssistantOHTBD

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 minutes10585$0
99214Established patient office or other outpatient visit, 30-39 minutes7945$0
81003Automated urinalysis test1312$0
View full utilization report →

Insurance plans in this area (ZIP 45828)

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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: 9133109903View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Cardiovascular Disease (Cardiology)NC
Nurse PractitionerOH
Family PracticeOH
P O D I A T R YOH
Physician AssistantOH
-OH
Physician AssistantOH

Reviews

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Frequently asked questions

What identifier follows MARISA SPOLTMAN (PA) across health systems?
The NPI 1972105443 uniquely identifies MARISA SPOLTMAN (PA) in U.S. healthcare data.
Does the public listing show MARISA SPOLTMAN (PA) as active?
MARISA SPOLTMAN (PA)'s NPI record reflects an active status in NPPES.
How should patients interpret MARISA SPOLTMAN (PA)'s specialty?
The extract shows Physician Assistant for MARISA SPOLTMAN (PA). Clinical services aligned with this taxonomy classification.
Which community is linked to MARISA SPOLTMAN (PA)?
MARISA SPOLTMAN (PA) shows a connection to Coldwater, Ohio in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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