Nicole Ann Spall, APRN-BC
- Medicare services, 2024
- 113
- Medicare patients, 2024
- 101
- Part D claims, 2024
- 225
- MIPS score, 2024
- 57
- Affiliated sites
- 2
- Practice address
- 390 Pondella Rd, North Fort Myers, FL 33903
- Practice phone
- Call (239) 652-0260
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Direct Access Counseling and Supportive Services
North Fort Myers, Florida
Find Nicole Spall's professional email, personal email and mobile number
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Nicole Ann Spall is a family nurse practitioner in North Fort Myers, Florida
Nicole Spall practices at Direct Access Counseling and Supportive Services in North Fort Myers, Florida.
Nicole Spall's NPI, 1780167809, was assigned on September 13, 2018. Nicole Spall holds Florida license ARNP9287830.
- NPI
- 1780167809NPI Registry (opens in a new tab)
- NPI enumeration date
- September 13, 2018
- NPI status
- Active
- Practice phone
- (239) 652-0260
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 34
- Medical school graduation
- 2018
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Practice Data
Nicole Ann Spall practices at Direct Access Counseling and Supportive Services in North Fort Myers, Florida
Nicole Spall's primary practice is Direct Access Counseling and Supportive Services, at 390 Pondella Rd, North Fort Myers, FL 33903 in Lee County. The practice phone is (239) 652-0260.
- Direct Access Counseling and Supportive Services390 Pondella Rd, North Fort Myers, FL 33903 · Lee CountyPhone(239) 652-0260
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Nicole Ann Spall is affiliated with 3 sites of care and 5 medical groups
Nicole Spall's primary practice is Direct Access Counseling and Supportive Services in North Fort Myers, Florida. The medical group on file is Direct Access Counseling & Supportive Services. Dmand AI also links Nicole Spall to 4 more medical groups, 1 group practice or clinic and 1 skilled nursing facility, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Nicole Ann Spall's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Nicole Spall practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Direct Access Counseling and Supportive Services | Available with a free account |
| +2 more sites and 4 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Nicole Ann Spall is one of 14,175 family nurse practitioners in Florida
Family is Nicole Spall's primary specialty in the NPI Registry, under taxonomy code 363LF0000X. Nicole Spall is licensed in Florida.
Specialties and state licenses
- Family nurse practitioner, FloridaPrimary
Family nurse practitioners near Nicole Spall
Counts of family nurse practitioners with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Nicole Ann Spall billed Medicare for 113 services in 2024
CMS data shows 113 Medicare services from Nicole Spall across 1 procedure code in 2024, for 101 Medicare patients. Medicare paid $8,024 for them. Every service was in an office.
Nicole Spall compared with the Florida median for family nurse practitioners, 2024
- Nicole Spall
- Florida median
- Medicare services
- 113vs 30863% below
- Medicare patients
- 101vs 11512% below
- Part D claims
- 159vs 52570% below
Medians across 8,146 family nurse practitioners in Florida with Dmand AI profiles that report each measure.
Nicole Spall's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Nicole Ann Spall treated 101 Medicare patients in 2024, average age 74
CMS counts 101 Medicare patients who saw Nicole Spall in 2024. The largest group is 65 to 74, with 36 patients. 75% of them have depression, and 75% have high blood pressure. Their average risk score is 2.91, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Nicole Spall's median patient age at 76, with 58% women.
Nicole Spall's Medicare patients by age, 2024
Nicole Spall's Medicare patients by sex, 2024
- Women5050%
- Men5150%
Chronic conditions among Nicole Spall's Medicare patients, 2024
- Depression75%
- High blood pressure75%
- High cholesterol75%
- Mood disorders75%
- Anxiety66%
- Diabetes65%
- Alzheimer's and dementia54%
- Bipolar disorder50%
Share of Medicare patients with each condition. A patient can have several.
Nicole Spall's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 76
Patient panel by sex, all payers
- Women58%
- Men41%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Nicole Ann Spall wrote 225 Medicare Part D claims in 2024
In 2024, Nicole Spall wrote 225 Medicare Part D claims for 55 patients. 89% of them were for generic drugs. CMS names the drug for 159 of them, across 7 drugs with 11 or more claims each, at $7,900 in total drug cost.
Nicole Spall's Part D claims by kind of drug, 2024
- Generic201 claims89%
- Brand-name24 claims11%
Nicole Spall's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Nicole Spall's Part D claims, 2024
- Opioids36%80 of 225 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Nicole Ann Spall scored 57 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 57 out of 100 for Nicole Spall for performance year 2024, reported as part of a group.
Nicole Spall's MIPS scores, performance year 2024
- 57of 100Final score
- 33of 100Quality
- 0of 100Promoting Interoperability
- 40of 100Improvement Activities
- 75of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Source: Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Sources for Nicole Ann Spall's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Nicole Ann Spall
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Nicole Ann Spall's NPI number?
Nicole Ann Spall's NPI number is 1780167809. It was assigned on September 13, 2018, and it is active in the NPI Registry.
What does Nicole Ann Spall specialize in?
Nicole Ann Spall is a family nurse practitioner in North Fort Myers, Florida. The primary specialty in the NPI Registry is Family Nurse Practitioner (taxonomy code 363LF0000X).
Where does Nicole Ann Spall practice?
Nicole Spall practices at 390 Pondella Rd, North Fort Myers, FL 33903. Nicole Spall's primary practice is Direct Access Counseling and Supportive Services in North Fort Myers, Florida. Dmand AI also links Nicole Spall to 4 medical groups, 1 group practice or clinic and 1 skilled nursing facility.
What is Nicole Ann Spall's office phone number?
The practice phone on file for Nicole Spall is (239) 652-0260.
What is Nicole Ann Spall's medical license number?
Nicole Spall holds Florida license ARNP9287830.
What medical group is Nicole Ann Spall part of?
Nicole Spall is linked to Direct Access Counseling & Supportive Services. Dmand AI links Nicole Spall to 4 more medical groups.
Does Nicole Ann Spall accept Medicare?
Yes. CMS data shows Nicole Spall billed Medicare for 113 services in 2024.
What is Nicole Ann Spall's MIPS score?
Nicole Spall's MIPS final score for performance year 2024 is 57 out of 100, reported as part of a group.
How many Medicare patients does Nicole Ann Spall see?
CMS counts 101 Medicare patients who saw Nicole Spall in 2024, with an average age of 74.
What services does Nicole Ann Spall bill to Medicare?
In 2024, Nicole Spall's most billed Medicare services were nursing facility care (99309).
What drugs does Nicole Ann Spall prescribe most?
In 2024 Medicare Part D data, Nicole Spall's most prescribed drugs by claims were Trazodone HCl, Tramadol HCl and Hydrocodone-Acetaminophen.
How long has Nicole Ann Spall been practicing?
Nicole Spall graduated from medical school in 2018, 8 years ago.
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