MRS. SUSAN GAIL SPELL (APRN) – Nurse Practitioner, NPI 1205071875
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. SUSAN GAIL SPELL (APRN)
452 BELL BRANCH LN
ST JOHNS, FL 322594440
Phone: (252) 235-7467
Type: Mailing
1539 PARENTAL HOME RD
JACKSONVILLE, FL 322163009
Phone: (904) 290-6028
Type: Location
3740 International Golf Pkwy Ste 100
St Augustine, FL 320920665
Phone: (904) 671-8333
Type: Location
191, Mill Street, Rockport, Knox County, Maine, 04856, United States
PROVIDER ENROLLMENT DEPT
ROCKLAND, DE 197320191
Phone: (302) 651-6212
Fax: (302) 651-4945
Type: Mailing
Nemours Children's Specialty Care, 807, Childrens Way, Jacksonville, Duval County, Florida, 32207, United States
JACKSONVILLE, FL 322078426
Phone: (904) 697-3600
Fax: (904) 697-3792
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $76.
Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.
Last reported payment date: 2024-04-23 • Largest payer in this snapshot: PFIZER INC. ($23).
Total Amount
$76
General + Research + Ownership
Payments
4
Total payment records
General Amount
$76
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-10-25
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 |
|---|---|---|---|---|
| I20211025001719 | I | Nurse Practitioner | FL | 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 32259)
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Reviews
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