MISS KELLY JORDAN SPANGLER (PA-C) – Medical Physician Assistant, NPI 1093128753
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,689 PHYSICIAN ASSISTANT in PA
Provider Addresses for MISS KELLY JORDAN SPANGLER (PA-C)
1599 SOMERSET AVE
STE 1
WINDBER, PA 159631745
Phone: (814) 341-1059
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)
CMS reports 92 Open Payments records for all available years, with a total value of $1,564.
Total Amount is formed as General ($1,564) + Research ($0) + Ownership ($0) = $1,564.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novo Nordisk Inc ($343).
Total Amount
$1,564
General + Research + Ownership
Payments
92
Total payment records
General Amount
$1,564
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $343 |
| ABBVIE INC. | $137 |
| PFIZER INC. | $131 |
| Daiichi Sankyo Inc. | $84 |
| Merck Sharp & Dohme LLC | $67 |
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: 2014-09-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140918000025 | I | Physician Assistant | PA | TBD |
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.
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 15963)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Emergency Medicine, General Practice | PA | |
| Nurse Practitioner | PA | |
| Physician Assistant | PA | |
| Family Practice | PA | |
| Orthopedic Surgery | PA | |
| P O D I A T R Y | PA | |
| Internal Medicine | PA | |
| Family Practice, General Surgery, Pain Management, Preventive Medicine | PA | |
| Nurse Practitioner | PA | |
| - | PA |
Reviews
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