MISTI D. STAGGERS CNP
NPI 1003005034
Clinical Nurse Specialist - Gerontology in Newark, OH

NPI Status: Active since October 16, 2007

Contact Information

120 MCMILLEN DR
NEWARK, OH
ZIP 43055
Phone: (740) 348-7935
Fax: (740) 348-7936

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Durable Medical Equipment
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Clinical Nurse Specialist
Gerontology
Accepts Insurance
PECOS Enrolled

About MISTI STAGGERS

This page provides the complete NPI Profile along with additional information for Misti Staggers, a provider established in Newark, Ohio with a medical specialization in Clinical Nurse Specialist, focusing in gerontology . The healthcare provider is registered in the NPI registry with number 1003005034 assigned on October 2007. The practitioner's primary taxonomy code is 364SG0600X with license number NP07950 (OH). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI: 1003005034
Provider Name: MISTI D. STAGGERS CNP
Gender: Female
Entity Type: Individual
Location Address: 120 MCMILLEN DR NEWARK, OH 43055
Location Phone: (740) 348-7935
Location Fax: (740) 348-7936
Mailing Address: 120 MCMILLEN DR NEWARK, OH 43055
Mailing Phone: (740) 348-7935
Mailing Fax: (740) 348-7936
Is Sole Proprietor?: No
Enumeration Date: 10-16-2007
Last Update Date: 10-16-2007
Code Navigator

A Clinical Nurse Specialist (CNS) like Misti Staggers is a type of advanced practice registered nurse (APRN) that provides direct patient care in various nursing specialties, including pediatrics or psychiatric-mental health. CNSs collaborate with other nurses and medical professionals to improve patient care quality. CNSs are often positioned in leadership roles where they may provide education and mentorship to other nursing personnel. Additionally, CNSs may also conduct research and advocate for certain healthcare policies.

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: Clinical Nurse Specialist Gerontology
Taxonomy Code: 364SG0600X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: NP07950
License State: OH

Insurance Plans Accepted

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

Oscar Health Insurance

Bronze Classic 4700 - HMO
Bronze Classic Standard - HMO
Bronze Elite + PCP Saver Plus - HMO
Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
Bronze Simple Chronic Care CKM - HMO
Bronze Simple Diabetes - HMO
Gold Classic - HMO
Gold Classic Standard - HMO
Gold Elite Saver Plus - HMO
Silver Classic Standard - HMO
Silver Elite Saver Plus - HMO
Silver Simple Breathe Easy with Enhanced COPD Benefits - HMO
Silver Simple Chronic Care CKM - HMO
Silver Simple Diabetes - HMO
Silver Simple PCP Saver - HMO
Silver Simple Women's Health with Menopause Benefits - HMO

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

Medicare Participation & PECOS Enrollment Status

Misti Staggers 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
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

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

DME-Other DME (DE005N)
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) (HCPCS:E0466)
1 DME suppliers used 11 Medicare Claims 11 Services Paid

Physician Visit Costs

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 43055 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

Average New Patient Price $126.12
Minimum New Patient Price $54.34
Maximum New Patient Price $166.65

Average New Patient Copayment $31.53
Minimum New Patient Copayment $13.58
Maximum New Patient Copayment $41.66

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $96.44
Minimum Established Patient Price $17.1
Maximum Established Patient Price $135.4

Average Established Patient Copayment $24.11
Minimum Established Patient Copayment $4.27
Maximum Established Patient Copayment $33.85

* 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.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003005034, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 36. The final step is to find the difference between that total and the next multiple of ten (40 - 36 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 0

Pos 4

Unchanged

Pos 5

Doubled → 0

Pos 6

Unchanged

Pos 7

Doubled → 10 → 1 + 0

Pos 8

Unchanged

Pos 9

Doubled → 6

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 0 + 0 + 1 + 0 + 0 + 6 + 24 = 36

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 36 is 40. The difference is the calculated check digit.

40 - 36 = 4

This NPI is valid

The calculated check digit is 4, which matches the last digit of 1003005034.