MIMI SONG IDICULA NP NPI 1003009580

Nurse Practitioner in Irving, TX

NPI 1003009580 Individual Female Years of Experience 6 Nurse Practitioner PECOS Enrolled Accepts Medicare Approved Payment

NPI Profile for 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 Mimi Idicula 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 one year ago.

A nurse practitioner (NP) like Mimi Song Idicula 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.

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.

NPI

1003009580

Provider Name MIMI SONG IDICULA NP
Provider Location Address6161 N STATE HIGHWAY 161 IRVING, TX 75038
Provider Mailing Address6161 N STATE HIGHWAY 161 IRVING, TX 75038
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2017
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-20-2007
Last Update Date07-13-2021


Primary Taxonomy

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.

Business Address

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

Get Directions


Mailing Address

MIMI SONG IDICULA NP
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

PECOS Enrollment and Medicare Participation

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 step by step the 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 LLP
Organization
Family Medicine6161 N STATE HIGHWAY 161
IRVING, TX 75038
(972) 258-7499

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Mimi Song Idicula Np is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.