Chantell Spohr, is a medicare enrolled "Nurse Practitioner" in Avilla, Indiana. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Parkview Health System Inc and her current practice location is
104 Nicholas Pl, Avilla, Indiana. You can reach out to her office (for appointments etc.) via phone at
(260) 897-3308.
Chantell Spohr is licensed to practice in Indiana (license number 71007644A) 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 1275063380.
Provider's Profile
| Full Name | Chantell Spohr |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 104 Nicholas Pl, Avilla, 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:
- Chantell Spohr graduated from nursing school in 2017
NPI Data:
- NPI Number: 1275063380
- Provider Enumeration Date: 06/13/2017
- Last Update Date: 06/29/2026
Medicare PECOS Information:
- PECOS PAC ID: 1052679388
- Enrollment ID: I20171214002299
Medical Identifiers
Medical identifiers for Chantell Spohr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275063380 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 28173978A (Indiana) | Secondary |
| 363L00000X | Nurse Practitioner | 71007644A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Parkview Health System Inc | 2163336967 | 1331 |
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. Chantell Spohr allows following entities to bill medicare on her behalf.
| Entity Name | Parkview Health System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932130952
PECOS PAC ID: 2163336967
Enrollment ID: O20031117000288 |
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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. Chantell Spohr 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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Chantell Spohr,
11109 Parkview Plaza Dr # 117,
Fort Wayne, IN 46845-1701
Ph: () - | Chantell Spohr,
104 Nicholas Pl,
Avilla, IN 46710-0069
Ph: (260) 897-3308 |
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