MIMI SONG IDICULA NP NPI 1003009580
Nurse Practitioner in Irving, TX

About MIMI SONG IDICULA NP

Mimi Idicula is a provider established in Irving, Texas and her medical specialization is Nurse Practitioner with more than 6 years of experience. The NPI number of this provider is 1003009580 and was assigned on August 2007. The practitioner's primary taxonomy code is 363L00000X with license number AP137449 (TX). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1003009580
Provider Name MIMI SONG IDICULA NP
Location Address6161 N STATE HIGHWAY 161 IRVING, TX 75038
Location Phone(972) 258-7499
Mailing Address6161 N STATE HIGHWAY 161 IRVING, TX 75038
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2017
Is Sole Proprietor?No
Enumeration Date08-20-2007
Last Update Date07-13-2021

A nurse practitioner (NP) like Mimi Idicula 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.Mimi Idicula 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.

Mimi Idicula 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.

The typical physician office visit costs for Medicare beneficiaries in this area are: $22.8 for a new patient copayment and $26.41 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 Code363L00000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.AP137449
License StateTX
Taxonomy Description(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Accepted Insurance

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

  • Medicaid
  • Medicare

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

Business Address

6161 N STATE HIGHWAY 161
IRVING, TX
ZIP 75038
Phone: (972) 258-7499
Fax: (972) 257-0897

Get Directions


Mailing Address

6161 N STATE HIGHWAY 161
IRVING, TX
ZIP 75038
Phone: (972) 258-7499
Fax: (972) 257-0897


Secondary Locations

1717 W University Dr #408
McKinney, TX 75069
(972) 548-2600


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 ID1052459120
PECOS Enrollment IDI20190628000060
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 75038 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
$59.43 $179.71 $91.22
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.85 $44.92 $22.8
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
$18.75 $147.31 $105.64
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.68 $36.82 $26.41

* 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.

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
1111N00000XChiropractic ProvidersChiropractor10049TXNo

Taxonomy Description: a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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
AP137449OTHER (01)TXNURSE PRACTITIONER

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.
1003009580
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030018516
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 + 8 + 5 + 1 + 6 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1003009580 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 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083687206 MARY C WARD D.O.
Individual
Family Medicine6161 N STATE HIGHWAY 161
IRVING, TX 75038
(972) 258-7499
1073589586DR. MARIA NICOLA BIARD MD
Individual
Family Medicine6161 N STATE HIGHWAY 161
IRVING, TX 75038
(972) 258-7499
1225004351DR. JAMES MARK ANDERSON MD
Individual
Family Medicine6161 N STATE HIGHWAY 161
IRVING, TX 75038
(972) 258-7499
1760458897DR. CHARLES LEE POWELL MD
Individual
Family Medicine6161 N STATE HIGHWAY 161
IRVING, TX 75038
(972) 258-7499
1780650291DR. WALTER NICHOLAS GAMAN MD
Individual
Family Medicine6161 N STATE HIGHWAY 161
IRVING, TX 75038
(972) 258-7499
1346466943 CESAR O. TORRES MD
Individual
Family Medicine6161 N STATE HIGHWAY 161
IRVING, TX 75038
(972) 258-7499
1043458631 ABIGAIL LEWADOWSKI SOTO PA-C
Individual
Physician Assistant (Medical)6161 N STATE HIGHWAY 161
IRVING, TX 75038
(972) 258-7499
1639309461 STACY R. MORETTA P.A.
Individual
Physician Assistant (Medical)6161 N STATE HIGHWAY 161
IRVING, TX 75038
(972) 258-7499
1326363128 RANDI DAWN TRUE PA
Individual
Physician Assistant6161 N STATE HIGHWAY 161
IRVING, TX 75038
(972) 258-7499
1316262033MRS. JENNIFER GARCIA MATA PA-C
Individual
Physician Assistant6161 N STATE HIGHWAY 161
IRVING, TX 75038
(972) 258-7499
1508388679 CINDI ANN PETERS RN
Individual
Nurse Practitioner (Family)6161 N STATE HIGHWAY 161
IRVING, TX 75038
(972) 258-7499
1700255684 TABETHA MASLOW MSN, APRN, FNP-C
Individual
Nurse Practitioner (Family)6161 N STATE HIGHWAY 161
IRVING, TX 75038
(972) 258-7499
1073712329HEALTHCARE ASSOCIATES OF IRVING
Organization
Pharmacy (Community/Retail Pharmacy)6161 N STATE HIGHWAY 161
IRVING, TX 75038
(972) 812-7559
1154952133MR. GEORGE LARRY JONES JR. RPH
Individual
Pharmacist6161 N STATE HIGHWAY 161
IRVING, TX 75038
(972) 812-7599
1467413625HEALTHCARE ASSOCIATES OF IRVING PLLC
Organization
Family Medicine6161 N STATE HIGHWAY 161
IRVING, TX 75038
(972) 258-7499

Frequently Asked Questions

What is Mimi Idicula NP NPI number?

The NPI number assigned to this healthcare provider is 1003009580, registered as an "individual" on August 20, 2007

Where is Mimi Idicula NP located?

The provider is located at 6161 N State Highway 161 Irving, Tx 75038 and the phone number is (972) 258-7499

Which is Mimi Idicula NP specialty?

The provider's speciality is Nurse Practitioner

How many years of experience does Mimi Idicula NP have?

The provider has more than 6 years of experience.

What insurance does Mimi Idicula NP accept?

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

Is Mimi Idicula 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 Mimi Idicula NP?

Medicare beneficiaries should expect a typical cost of $91.22 with an average copayment of $22.8 for new patient appointments. Established patients should expect a typical charge of $105.64 and an average copayment of 26.41. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Mimi Idicula NP was last updated on August 20, 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]