NICOLE R SPONSEL P.A.
NPI 1629042890
Physician Assistant in Wichita, KS

NPI Status: Active since February 15, 2006

Contact Information

550 N HILLSIDE ST
WICHITA, KS
ZIP 67214
Phone: (316) 962-2000
Fax: (303) 306-7753

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  • Individual
  • Female
  • Years of Experience 22
  • Physician Assistant
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About NICOLE SPONSEL

This page provides the complete NPI Profile along with additional information for Nicole Sponsel, a primary care provider established in Wichita, Kansas with a medical specialization in Physician Assistant and more than 22 years of experience. The healthcare provider is registered in the NPI registry with number 1629042890 assigned on February 2006. The practitioner's primary taxonomy code is 363A00000X with license number 15-00994 (KS). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1629042890
Provider Name
NICOLE R SPONSEL P.A.
Gender
Female
Entity Type
Individual
Location Address
550 N HILLSIDE ST WICHITA, KS 67214
Location Phone
(316) 962-2000
Location Fax
(303) 306-7753
Mailing Address
PO BOX 5183 DENVER, CO 80217
Mailing Phone
(303) 306-7783
Mailing Fax
(303) 306-7753
Medical School Name
OTHER
Graduation Year
2004
Is Sole Proprietor?
No
Enumeration Date
02-15-2006
Last Update Date
11-28-2017
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A primary care provider (PCP) like Nicole Sponsel sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
15-00994
License State
KS
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCare EPO Bronze - EPO
  • BlueCare EPO Gold - EPO
  • BlueCare EPO Gold Plus - EPO
  • BlueCare EPO Silver Plus - EPO
  • BlueCare EPO Simple Bronze HDHP - EPO
  • BlueCare EPO Simple Silver HDHP - EPO
  • BlueCare EPO Standardized Expanded Bronze - EPO
  • BlueCare EPO Standardized Gold - EPO
  • BlueCare EPO Standardized Silver - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
200268310AMEDICAID (05)KS 
426935MEDICARE ID-TYPE UNSPECIFIED (04)KS 
Q23904MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

Nicole Sponsel is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Nicole Sponsel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4183693252

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040927000748

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 25 times for 25 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 51 times for 51 patients

Initial hospital observation care per day, typically 50 minutes

Initial hospital observation care is a service where healthcare professionals monitor your health for about 50 minutes daily. This helps them understand your condition better, plan treatment, and ensure your safety. It's a routine part of hospital care.

This service was performed 12 times for 12 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $20.49 for a new patient copayment and $16.6 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 67214 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $81.98
  • Minimum New Patient Price $53
  • Maximum New Patient Price $161.67
  • Average New Patient Copayment $20.49
  • Minimum New Patient Copayment $13.25
  • Maximum New Patient Copayment $40.41

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.4
  • Minimum Established Patient Price $16.88
  • Maximum Established Patient Price $132.11
  • Average Established Patient Copayment $16.6
  • Minimum Established Patient Copayment $4.22
  • Maximum Established Patient Copayment $33.02

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Care Plan 100% 37
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Nicole Sponsel is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
WESLEY MEDICAL CENTER550 N HILLSIDE STREET
WICHITA, KS 67214
(316) 962-2000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1629042890
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2649044818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 0 + 4 + 4 + 8 + 1 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1629042890 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1710989306 MARK A KIRSCH MD
Individual
Anesthesiology550 N HILLSIDE ST
WICHITA, KS 67214
(316) 962-3030
1962404509 PAUL H CARROLL MD
Individual
Anesthesiology550 N HILLSIDE ST
WICHITA, KS 67214
(316) 962-3030
1083606255 VICTORIA L WHITWORTH CRNA
Individual
Anesthesiology550 N HILLSIDE ST
WICHITA, KS 67214
(316) 962-3030
1528050796 LISA E BURR CRNA
Individual
Nurse Anesthetist, Certified Registered550 N HILLSIDE ST
WICHITA, KS 67214
(316) 962-3030
1083606271 MARNA J ATKINSON CRNA
Individual
Nurse Anesthetist, Certified Registered550 N HILLSIDE ST
WICHITA, KS 67214
(316) 962-3030
1770575953 JUDY D PARK CRNA
Individual
Nurse Anesthetist, Certified Registered550 N HILLSIDE ST
WICHITA, KS 67214
(316) 962-3030
1235121419 KATY L HUXFORD CRNA
Individual
Anesthesiology550 N HILLSIDE ST
WICHITA, KS 67214
(316) 962-3030
1700878998 MARGARET A THOMPSON CRNA
Individual
Anesthesiology550 N HILLSIDE ST
WICHITA, KS 67214
(316) 962-3030
1528050705 MARIE E VICKERY CRNA
Individual
Anesthesiology550 N HILLSIDE ST
WICHITA, KS 67214
(316) 962-3030
1346232527 JANICE M CLARKSON CRNA
Individual
Anesthesiology550 N HILLSIDE ST
WICHITA, KS 67214
(316) 962-3030
1063404069 MAURICE KLIEWER MD
Individual
Anesthesiology550 N HILLSIDE ST
WICHITA, KS 67214
(316) 962-3030
1780679100 AMY J MOTT CRNA
Individual
Anesthesiology550 N HILLSIDE ST
WICHITA, KS 67214
(316) 962-3030
1720063183DR. TERRY CARLSON MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)550 N HILLSIDE ST
WICHITA, KS 67214
(316) 962-2877
1932170032 IL-SUNG CHI MD
Individual
Anesthesiology550 N HILLSIDE ST
WICHITA, KS 67214
(316) 789-8444
1629049622 REBECCA FREUND CRNA
Individual
Nurse Anesthetist, Certified Registered550 N HILLSIDE ST
WICHITA, KS 67214
(316) 789-8444
1861468878 MARILYN BASSELL CRNA
Individual
Nurse Anesthetist, Certified Registered550 N HILLSIDE ST
WICHITA, KS 67214
(316) 789-8444
1265408280 BETHEL WENTZ CRNA
Individual
Nurse Anesthetist, Certified Registered550 N HILLSIDE ST
WICHITA, KS 67214
(316) 789-8444
1720055650 DAVID WENTZ CRNA
Individual
Nurse Anesthetist, Certified Registered550 N HILLSIDE ST
WICHITA, KS 67214
(316) 789-8444
1336115393 BETTY ANN BONTRAGER CRNA
Individual
Nurse Anesthetist, Certified Registered550 N HILLSIDE ST
WICHITA, KS 67214
(316) 789-8444
1194791145 CAROL BENNINGHOFF CRNA
Individual
Nurse Anesthetist, Certified Registered550 N HILLSIDE ST
WICHITA, KS 67214
(316) 789-8444

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629042890, enumerated in the NPI registry as an "individual" on February 15, 2006

The provider is located at 550 N Hillside St Wichita, Ks 67214 and the phone number is (316) 962-2000

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

The provider has more than 22 years of experience.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas, Inc.,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $81.98 with an average copayment of $20.49 for new patient appointments. Established patients should expect a typical charge of $66.4 and an average copayment of 16.6. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Initial hospital inpatient care per day, typically 50 minutes, Initial hospital inpatient care per day, typically 70 minutes and Initial hospital observation care per day, typically 50 minutes.

The practitioner is affiliated to the following hospital(s): WESLEY MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on February 15, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.