Jacklyn M Spates, APNP - Medicare Nurse Practitioner in Appleton, WI

Jacklyn M Spates, APNP is a medicare enrolled "Nurse Practitioner - Family" in Appleton, Wisconsin. Her current practice location is 820 E Grant St, Suite 230, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 738-7300.

Jacklyn M Spates is licensed to practice in Wisconsin (license number 4125) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487969572.

Contact Information

Jacklyn M Spates, APNP
820 E Grant St, Suite 230,
Appleton, WI 54911-3483
(920) 738-7300
(920) 738-7301

Map and Direction




Provider's Profile

Full NameJacklyn M Spates
GenderFemale
SpecialityNurse Practitioner - Family
Location820 E Grant St, Appleton, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487969572
  • Provider Enumeration Date: 08/12/2010
  • Last Update Date: 05/23/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1456544980
  • Enrollment ID: I20160606002070

Medical Identifiers

Medical identifiers for Jacklyn M Spates such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487969572NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4125 (Wisconsin)Primary

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. Jacklyn M Spates 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
Jacklyn M Spates, APNP
2500 Overlook Ter, Suite 230,
Madison, WI 53705-2254

Ph: (608) 256-1901
Jacklyn M Spates, APNP
820 E Grant St, Suite 230,
Appleton, WI 54911-3483

Ph: (920) 738-7300

Reviews and Comments


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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).

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