Quick answers
- Does Joana Gillett-Spio accept Medicare assignment?
- Yes. Medicare's clinician data says Joana Gillett-Spio accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Joana Gillett-Spio see?
- In 2024, CMS data shows 97 Original Medicare patients and 171 services for Joana Gillett-Spio. This counts Original Medicare only and measures volume, not quality.
- What is Joana Gillett-Spio's NPI number?
- 1902666951. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Joana Gillett-Spio, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 97 |
|---|---|
| Services billed to Medicare | 171 |
| Different services or procedures | 4 |
| Participating Medicare provider | Yes |
| Average age of these patients | 84 |
Most frequent services
- Psychiatric diagnostic evaluation with medical services (90792)61 services
- Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)46 services
- Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes (99348)35 services
- Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes (99349)21 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure75%
- High cholesterol75%
- Arthritis75%
- Depression75%
- Anxiety67%
- Alzheimer's disease or dementia58%
Practice locations
Addresses where Joana Gillett-Spio is enrolled with Medicare (CMS data updated October 2, 2026).
- 610 Marshall StMilford, DE 19963 (302) 359‑3734
Group practices
Medicare enrollment lists Joana Gillett-Spio as a member of this group (CMS data updated October 2, 2026).
- State of Mind Counseling Services, LLC13 clinicians in the group
Specialties
- Nurse Practitionerprimary
Other nurse practitioners in Milford
Clinicians with the same Medicare primary specialty in Milford, DE — not a recommendation.
Other clinicians in State of Mind Counseling Services, LLC
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | NP |
|---|---|
| Graduation year | 2023 |
| Gender (as listed) | Female |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| Telehealth | Offers telehealth services |
| NPI (National Provider Identifier) | 1902666951 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians