Cerissa Sperle, NP is a medicare enrolled "Nurse Practitioner - Family" in Fortville, Indiana. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Community Physicians Of Indiana Inc and her current practice location is
545 Vitality Dr Ste 100a, Fortville, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 621-9220.
Cerissa Sperle is licensed to practice in Indiana (license number 71009281A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205482486.
Provider's Profile
| Full Name | Cerissa Sperle |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 545 Vitality Dr Ste 100a, Fortville, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Cerissa Sperle graduated from nursing school in 2018
NPI Data:
- NPI Number: 1205482486
- Provider Enumeration Date: 08/14/2019
- Last Update Date: 11/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 7012246770
- Enrollment ID: I20190906000515
Medical Identifiers
Medical identifiers for Cerissa Sperle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205482486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 28193326A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71009281A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Community Physicians Of Indiana Inc | 1759416662 | 1292 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Cerissa Sperle allows following entities to bill medicare on her behalf.
| Entity Name | Community Physicians Of Indiana Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619105244
PECOS PAC ID: 1759416662
Enrollment ID: O20100317000717 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cerissa Sperle is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Cerissa Sperle, NP
6626 E 75th St Ste 500,
Indianapolis, IN 46250-2890
Ph: (317) 621-7547 | Cerissa Sperle, NP
545 Vitality Dr Ste 100a,
Fortville, IN 46040-1373
Ph: (317) 621-9220 |
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