MRS. ZANA CORREA NP
NPI 1003013061
Nurse Practitioner - Adult Health in New York, NY


Quality Rating: 89.28 out of 100 score

NPI Status: Active since July 02, 2007

Contact Information

1275 YORK AVE
NEW YORK, NY
ZIP 10065
Phone: (646) 422-4450

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  • Individual
  • Female
  • Years of Experience 18
  • Nurse Practitioner
  • Adult Health
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About ZANA CORREA

Zana Correa is a provider established in New York, New York and her medical specialization is Nurse Practitioner with a focus in adult health with more than 18 years of experience. She graduated from New York University School Of Medicine in 2006. The healthcare provider is registered in the NPI registry with number 1003013061 assigned on July 2007. The practitioner's primary taxonomy code is 363LA2200X with license number F304468-1 (NY). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1003013061
Provider Name
MRS. ZANA CORREA NP
Gender
Female
Entity Type
Individual
Location Address
1275 YORK AVE NEW YORK, NY 10065
Location Phone
(646) 422-4450
Mailing Address
1275 YORK AVE NEW YORK, NY 10065
Mailing Phone
(646) 422-4450
Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2006
Is Sole Proprietor?
No
Enumeration Date
07-02-2007
Last Update Date
04-09-2009
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A nurse practitioner (NP) like Zana Correa 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.

Zana Correa is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 89.28, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $26.59 for a new patient copayment and $30.4 for an established patient copayment.

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

Nurse Practitioner Adult Health

Taxonomy Code
363LA2200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
F304468-1
License State
NY

PECOS Enrollment and Medicare Participation Status

Zana Correa 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

  • PECOS PAC ID: 7315025178

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20080418000173

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • 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 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.

Prosthetic and Orthotic Devices

  • Prosthetic/Orthotic devices (D1F)

    Ostomy skin barrier, powder, per oz (HCPCS:A4371)

    3 DME suppliers used 11 Medicare Claims 27 Services Paid

  • Prosthetic/Orthotic devices (D1F)

    Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each (HCPCS:A4385)

    2 DME suppliers used 19 Medicare Claims 540 Services Paid

  • Prosthetic/Orthotic devices (D1F)

    Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each (HCPCS:A4390)

    1 DME suppliers used 15 Medicare Claims 660 Services Paid

  • Prosthetic/Orthotic devices (D1F)

    Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce (HCPCS:A4394)

    3 DME suppliers used 29 Medicare Claims 489 Services Paid

  • Prosthetic/Orthotic devices (D1F)

    Irrigation supply; sleeve, each (HCPCS:A4397)

    3 DME suppliers used 12 Medicare Claims 72 Services Paid

  • Prosthetic/Orthotic devices (D1F)

    Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each (HCPCS:A4407)

    2 DME suppliers used 13 Medicare Claims 500 Services Paid

  • Prosthetic/Orthotic devices (D1F)

    Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each (HCPCS:A4409)

    1 DME suppliers used 13 Medicare Claims 420 Services Paid

  • Prosthetic/Orthotic devices (D1F)

    Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each (HCPCS:A4414)

    3 DME suppliers used 24 Medicare Claims 830 Services Paid

  • Prosthetic/Orthotic devices (D1F)

    Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each (HCPCS:A4419)

    2 DME suppliers used 18 Medicare Claims 2640 Services Paid

  • Prosthetic/Orthotic devices (D1F)

    Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each (HCPCS:A4425)

    3 DME suppliers used 27 Medicare Claims 620 Services Paid

  • Prosthetic/Orthotic devices (D1F)

    Adhesive remover or solvent (for tape, cement or other adhesive), per ounce (HCPCS:A4455)

    1 DME suppliers used 15 Medicare Claims 71 Services Paid

  • Prosthetic/Orthotic devices (D1F)

    Adhesive remover, wipes, any type, each (HCPCS:A4456)

    3 DME suppliers used 37 Medicare Claims 2655 Services Paid

  • Prosthetic/Orthotic devices (D1F)

    Stoma cap (HCPCS:A5055)

    1 DME suppliers used 13 Medicare Claims 585 Services Paid

  • Prosthetic/Orthotic devices (D1F)

    Skin barrier, wipes or swabs, each (HCPCS:A5120)

    2 DME suppliers used 24 Medicare Claims 975 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 10065 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $106.37
  • Minimum New Patient Price $69.45
  • Maximum New Patient Price $208.72
  • Average New Patient Copayment $26.59
  • Minimum New Patient Copayment $17.36
  • Maximum New Patient Copayment $52.18

Established Patients Visit Costs *

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

  • Average Established Patient Price $121.62
  • Minimum Established Patient Price $21.65
  • Maximum Established Patient Price $169.66
  • Average Established Patient Copayment $30.4
  • Minimum Established Patient Copayment $5.41
  • Maximum Established Patient Copayment $42.41

* 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.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 89.28 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 87.39

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Reviews for MRS. ZANA CORREA NP

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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.
1003013061
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003016012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 6 + 0 + 1 + 2 + 24 = 39
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 39 = 11

The NPI number 1003013061 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1710970280DR. VINCENT P LAUDONE MD
Individual
Urology1275 YORK AVE
NEW YORK, NY 10065
(646) 422-4306
1215919758DR. ALESSIA CAROLINA PEDOTO MD
Individual
Anesthesiology1275 YORK AVE RM M301
NEW YORK, NY 10065
(212) 693-6840
1609854009 ANURADHA D KHILNANI MD
Individual
Radiology (Diagnostic Radiology)1275 YORK AVE
NEW YORK, NY 10065
(646) 888-4508
1710967369MEMORIAL PATHOLOGY GROUP
Organization
Pathology (Anatomic Pathology & Clinical Pathology)1275 YORK AVE
NEW YORK, NY 10065
(646) 227-3813
1215917612 MARISA A KOLLMEIER MD
Individual
Radiology (Radiation Oncology)1275 YORK AVE
NEW YORK, NY 10065
(212) 639-3952
1578534434 KENT A SEPKOWITZ MD
Individual
Internal Medicine (Infectious Disease)1275 YORK AVE
NEW YORK, NY 10065
(212) 639-2000
1053382523MEMORIAL MEDICAL CONSULTATION GROUP
Organization
Internal Medicine1275 YORK AVE
NEW YORK, NY 10065
(646) 227-3813
1871564344MEMORIAL PULMONARY FUNCTION GROUP
Organization
Internal Medicine (Pulmonary Disease)1275 YORK AVE
NEW YORK, NY 10065
(646) 227-3813
1891766366MEMORIAL HEMATOLOGY LYMPHOMA GROUP
Organization
Internal Medicine (Hematology & Oncology)1275 YORK AVE
NEW YORK, NY 10065
(646) 227-3813
1619948189MEMORIAL INFECTIOUS DISEASE GROUP
Organization
Internal Medicine (Infectious Disease)1275 YORK AVE
NEW YORK, NY 10065
(646) 227-3813
1972575165 ALLAN D GREENBERG DMD
Individual
Dentist (Endodontics)1275 YORK AVE
NEW YORK, NY 10065
(212) 639-7644
1699737882MEMORIAL HOSPITAL FOR CANCER & ALLIED DISEASES
Organization
Durable Medical Equipment & Medical Supplies1275 YORK AVE
NEW YORK, NY 10065
(212) 639-2000
1740238369 STACY M. STABLER M.D., PH.D.
Individual
Internal Medicine1275 YORK AVE
NEW YORK, NY 10065
(646) 888-2165
1184673055MRS. ALISON J COSTALOS I NP
Individual
Nurse Practitioner (Acute Care)1275 YORK AVE
NEW YORK, NY 10065
(646) 422-4329
1063462372 NATASHA REKHTMAN M.D., PH.D.
Individual
Pathology (Anatomic Pathology)1275 YORK AVE
NEW YORK, NY 10065
(212) 639-5900
1558317677 MAXINE S JOCHELSON M.D.
Individual
Radiology (Diagnostic Radiology)1275 YORK AVE
NEW YORK, NY 10065
(212) 639-2190
1619924750DR. MONA SABRA M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)1275 YORK AVE
NEW YORK, NY 10065
(646) 888-3270
1518914605 HARPREET KAUR PANNU M.D.
Individual
Radiology (Diagnostic Radiology)1275 YORK AVE
NEW YORK, NY 10065
(410) 955-6500
1700825171DR. DAN DOUER M.D.
Individual
Internal Medicine (Hematology)1275 YORK AVE
NEW YORK, NY 10065
(212) 639-2471
1144263765 GINGER JEAN GARDNER M.D.
Individual
Obstetrics & Gynecology (Gynecologic Oncology)1275 YORK AVE
NEW YORK, NY 10065
(212) 639-2375

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003013061, enumerated in the NPI registry as an "individual" on July 02, 2007

The provider is located at 1275 York Ave New York, Ny 10065 and the phone number is (646) 422-4450

The provider's speciality is Nurse Practitioner with taxonomy code 363LA2200X with a focus in Adult Health

The provider has more than 18 years of experience. She graduated from New York University School Of Medicine in 2006.

Yes, as of April 12, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a 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.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.

Medicare beneficiaries should expect a typical cost of $106.37 with an average copayment of $26.59 for new patient appointments. Established patients should expect a typical charge of $121.62 and an average copayment of 30.4. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on July 02, 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].
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