Erika Spaulding, APRN - Medicare Nurse Practitioner in Butler, KY

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Erika Spaulding, APRN is a medicare enrolled "Nurse Practitioner" in Butler, Kentucky. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Summit Medical Group, Inc and her current practice location is 79 Country Club Dr, Butler, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 654-2283.

Erika Spaulding is licensed to practice in Kentucky (license number 3010851) 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 1770035040.

Contact Information

Erika Spaulding, APRN
79 Country Club Dr,
Butler, KY 41006-8704
(859) 654-2283
(859) 654-2284

Map and Direction




Provider's Profile

Full NameErika Spaulding
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location79 Country Club Dr, Butler, Kentucky
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Erika Spaulding graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1770035040
  • Provider Enumeration Date: 11/02/2016
  • Last Update Date: 09/11/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3476832239
  • Enrollment ID: I20161117002643

Medical Identifiers

Medical identifiers for Erika Spaulding such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770035040NPI-NPPES
7100440940MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 3010851 (Kentucky)Primary
363LF0000XNurse Practitioner - Family 3010851 (Kentucky)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Elizabeth EdgewoodEdgewood, KYHospital
St Elizabeth Ft ThomasFort thomas, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group, Inc2163326240712

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. Erika Spaulding allows following entities to bill medicare on her behalf.
Entity NameSummit Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508287640
PECOS PAC ID: 2163326240
Enrollment ID: O20031120000738

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. Erika Spaulding 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 AddressPractice Location Address
Erika Spaulding, APRN
Po Box 635283,
Cincinnati, OH 45263-5283

Ph: (859) 654-2283		Erika Spaulding, APRN
79 Country Club Dr,
Butler, KY 41006-8704

Ph: (859) 654-2283

Reviews and Comments


Nurse Practitioner Nurses in Butler, KY

Daniel Raymond Klaber Jr.,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 176 Retreat St, Butler, KY 41006
Phone: 859-472-1540    
Mrs. Rebecca Lee Hughes, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 540 Phillip Sharp Rd, Butler, KY 41006
Phone: 859-391-6161    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.