ROBIN R HOUSE APRN NP NPI 1003008095
Nurse Practitioner - Family in London, KY

About ROBIN R HOUSE APRN NP

Robin House is a provider established in London, Kentucky and her medical specialization is Nurse Practitioner with a focus in family with more than 16 years of experience. The NPI number of Robin House is 1003008095 and was assigned on August 2007. The practitioner's primary taxonomy code is 363LF0000X with license number 3005204 (KY). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1003008095
Provider Name ROBIN R HOUSE APRN NP
Location Address1406 W 5TH ST SUITE 201 LONDON, KY 40741
Location Phone(606) 330-2377
Mailing AddressPO BOX 936 LONDON, KY 40743
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2007
Is Sole Proprietor?No
Enumeration Date08-14-2007
Last Update Date08-02-2019

A nurse practitioner (NP) like Robin R House Aprn Np is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.Robin House 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.

Robin House is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Saint Joseph London and Baptist Health Corbin.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.18 for a new patient copayment and $24.51 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code363LF0000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily
License No.3005204
License StateKY

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:

  • Anthem Blue Cross
  • Medicaid
  • Medicare
  • Railroad Medicare

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

Business Address

ROBIN R HOUSE APRN NP
1406 W 5TH ST
SUITE 201
LONDON, KY
ZIP 40741
Phone: (606) 330-2377
Fax: (606) 330-2369

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Mailing Address

ROBIN R HOUSE APRN NP
PO BOX 936
LONDON, KY
ZIP 40743
Phone: (606) 330-7835
Fax: (606) 330-7825


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID3678666054
PECOS Enrollment IDI20070830000131
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 order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 40741 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$54.72 $168.41 $84.75
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.68 $42.1 $21.18
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$16.65 $137.34 $98.06
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.16 $34.33 $24.51

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

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 87Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 29Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • 29Administration of pneumococcal vaccine (HCPCS:G0009)
  • 22Urinalysis, manual test (HCPCS:81002)
  • 15Administration of influenza virus vaccine (HCPCS:G0008)

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily5204PKYNo

Taxonomy Description: Not Available

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000000609854OTHER (01)KYANTHEM
7100038230MEDICAID (05)KY
P00716443OTHER (01)KYRR MEDICARE

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.
1003008095
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030016018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 1 + 6 + 0 + 1 + 8 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1003008095 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1689601387 MARK S. ADAMS M.D.
Individual
Internal Medicine1406 W 5TH ST SUITE 201
LONDON, KY 40741
(606) 864-4137
1184658080MR. DONALD G MAGUET PT
Individual
Physical Therapist1406 W 5TH ST SUITE 100
LONDON, KY 40741
(606) 877-1242
1770749103CARDIOVASCULAR SPECIALISTS OF THE CUMBERLANDS PLLC
Organization
Internal Medicine (Cardiovascular Disease)1406 W 5TH ST SUITE 3
LONDON, KY 40741
(606) 864-5976
1407147853SAINT JOSEPH MEDICAL FOUNDATION, INC
Organization
Surgery1406 W 5TH ST STE 302
LONDON, KY 40741
(606) 864-2788
1043501091MARYMOUNT MEDICAL CENTER PHYSICIAN SERVICES
Organization
Clinic/Center (Primary Care)1406 W 5TH ST STE 201
LONDON, KY 40741
(606) 330-2377
1457642159SAINT JOSEPH MEDICAL FOUNDATION, INC
Organization
Thoracic Surgery (Cardiothoracic Vascular Surgery)1406 W 5TH ST STE 303
LONDON, KY 40741
(606) 862-9280
1699737494DR. PETER PHILIP MCKEOWN MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)1406 W 5TH ST STE 303
LONDON, KY 40741
(606) 862-9280
1700226271SAINT JOSEPH MEDICAL FOUNDATION, INC.
Organization
Family Medicine1406 W 5TH ST STE 201
LONDON, KY 40741
(606) 330-2377
1407146848SAINT JOSEPH MEDICAL FOUNDATION, INC
Organization
Internal Medicine (Endocrinology, Diabetes & Metabolism)1406 W 5TH ST STE 302
LONDON, KY 40741
(606) 330-7300
1497940753DR. JAMES DERRICK ADAMS M.D.
Individual
Family Medicine1406 W 5TH ST STE 201
LONDON, KY 40741
(606) 330-2377
1366720807 AKSHATHA RAO M.D.
Individual
Internal Medicine1406 W 5TH ST SUITE 201
LONDON, KY 40741
(606) 330-2377
1437479797 DON MICHAEL MORRING JR. MD
Individual
Surgery1406 W 5TH ST SUITE 301
LONDON, KY 40741
(606) 330-2370
1417966425 FARHAN JAVAID
Individual
Family Medicine1406 W 5TH ST SUITE 201
LONDON, KY 40741
(606) 330-2377
1245328319 JANEY P PHIPPS APRN
Individual
Nurse Practitioner (Family)1406 W 5TH ST SUITE 200
LONDON, KY 40741
(606) 330-2377

Frequently Asked Questions

What is Robin House APRN NP NPI number?

The NPI number assigned to Robin House APRN NP is 1003008095, registered as an "individual" on August 14, 2007

Where is Robin House APRN NP located?

The provider is located at 1406 W 5th St Suite 201 London, Ky 40741 and the phone number is (606) 330-2377

Which is Robin House APRN NP specialty?

The provider's speciality is Nurse Practitioner with a focus in Family

How many years of experience does Robin House APRN NP have?

The provider has more than 16 years of experience.

What insurance does Robin House APRN NP accept?

The provider might be accepting Anthem Blue Cross, Medicaid, Medicare and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Robin House APRN NP registered in PECOS?

Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare 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.

How much is a visit to Robin House APRN NP?

Medicare beneficiaries should expect a typical cost of $84.75 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $98.06 and an average copayment of 24.51. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Robin House APRN NP?

The most common procedures or services performed by this practitioner are: Injection beneath the skin or into muscle for therapy, diagnosis, or prevention, Pneumococcal vaccine for injection into muscle, Administration of pneumococcal vaccine, Urinalysis, manual test and Administration of influenza virus vaccine.

How do I update my NPI information?

The NPI record of Robin House APRN NP was last updated on August 14, 2007. 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 at: [email protected]