EMILY BYRNE FNP-BC NPI 1003013608

Nurse Practitioner (Family) in Montpelier, VT

NPI 1003013608 Individual Female Years of Experience 21 Nurse Practitioner Family PECOS Enrolled Accepts Medicare Approved Payment

NPI Profile for EMILY BYRNE FNP-BC

Emily Byrne is a provider established in Montpelier, Vermont and her medical specialization is nurse practitioner (family) with more than 21 years of experience. She graduated from Jefferson Medical College Of Thomas Jefferson University in 2002. The NPI number of Emily Byrne is 1003013608 and was assigned on June 2007. The practitioner's primary taxonomy code is 363LF0000X with license number 1010025996 (VT). The provider is registered as an individual and her NPI record was last updated 8 years ago.

A nurse practitioner (NP) like Emily Byrne Fnp-bc 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.

Emily Byrne 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.

Emily Byrne 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 Central Vermont Medical Center.

The typical physician office visit costs for Medicare beneficiaries in this area are: $22.31 for a new patient copayment and $25.83 for an established patient copayment.

NPI

1003013608

Provider Name EMILY BYRNE FNP-BC
Provider Location Address156 MAIN ST MONTPELIER, VT 05602
Provider Mailing AddressPO BOX 547 CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT BARRE, VT 05641
GenderFemale
NPI Entity TypeIndividual
Medical School NameJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year2002
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-28-2007
Last Update Date10-10-2014


Primary Taxonomy

Taxonomy Code363LF0000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily
License No.1010025996
License StateVT

Business Address

EMILY BYRNE FNP-BC
156 MAIN ST
MONTPELIER, VT
ZIP 05602
Phone: (802) 223-4738
Fax: (802) 223-6067

Get Directions


Mailing Address

EMILY BYRNE FNP-BC
PO BOX 547
CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT
BARRE, VT
ZIP 05641
Phone: (802) 223-4738
Fax: (802) 223-6067



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 ID9234029448
PECOS Enrollment IDI20070802000126
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 05602 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
$58.12 $175.83 $89.24
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.53 $43.95 $22.31
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
$18.32 $144.08 $103.32
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.58 $36.02 $25.83

* 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.

  • 16Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 12Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Emily Byrne is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
CENTRAL VERMONT MEDICAL CENTERBOX 547
BARRE, VT 5641
(802) 371-4100Acute Care Hospitals470001

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
000126501MEDICARE PIN (08)VT
P83308MEDICARE UPIN (02)
1013922MEDICAID (05)VT

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.
1003013608
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301660
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 + 6 + 0 + 24 = 42
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 42 = 88

The NPI number 1003013608 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962511048 SARAH H BUSHWELLER PA
Individual
Physician Assistant156 MAIN ST MONTPELIER HEALTH CENTER
MONTPELIER, VT 05602
(802) 223-4738
1316070592 JOSHUA IRA SINGER L.AC.
Individual
Acupuncturist156 MAIN ST SUITE 103
MONTPELIER, VT 05602
(802) 223-0954
1881834331 KERRY JENNI L.AC.
Individual
Acupuncturist156 MAIN ST STE 103
MONTPELIER, VT 05602
(802) 223-0954
1326021684 MONIQUE JEANETTE KARTHAUS MS PA-C
Individual
Physician Assistant156 MAIN ST
MONTPELIER, VT 05602
(802) 223-4738
1013097161MS. JENNIFER IVY GORDON MSW
Individual
Social Worker (Clinical)156 MAIN ST
MONTPELIER, VT 05602
(802) 223-4738
1487728655DR. PAUL D LAFFAL MD
Individual
Family Medicine156 MAIN ST
MONTPELIER, VT 05602
(802) 223-4738
1497718928 JEREMIAN M ECKHAUS M.D.
Individual
Family Medicine156 MAIN ST
MONTPELIER, VT 05602
(802) 223-4738
1902844004 KATHLEEN JACKMAN APRN
Individual
Nurse Practitioner (Family)156 MAIN ST
MONTPELIER, VT 05602
(802) 223-4738
1245240753DR. RIMA BETH CARLSON MD
Individual
Family Medicine156 MAIN ST
MONTPELIER, VT 05602
(802) 223-4738
1982869111DR. DANIEL ROBERT MITCHELL PH.D
Individual
Psychologist (Counseling)156 MAIN ST
MONTPELIER, VT 05602
(802) 223-4738
1134589575 KATIE L HALL APRN
Individual
Nurse Practitioner (Family)156 MAIN ST
MONTPELIER, VT 05602
(802) 223-4738
1013193093 JOHN WILSON MD
Individual
Family Medicine156 MAIN ST
MONTPELIER, VT 05602
(802) 223-4738
1295846590 MARCIA A. DION MS
Individual
Audiologist-Hearing Aid Fitter156 MAIN ST SUITE 4
MONTPELIER, VT 05602
(802) 229-5868
1477916062DR. EMILY GREER JONES MD
Individual
Family Medicine156 MAIN ST
MONTPELIER, VT 05602
(802) 223-4738
1225326739INTEGRATIVE ACUPUNCTURE AND ORIENTAL MEDICINE LLC
Organization
Naturopath156 MAIN ST 103
MONTPELIER, VT 05602
(802) 223-0954
1548670227 LAUREN ABRAMOWITZ FNP
Individual
Nurse Practitioner (Family)156 MAIN ST
MONTPELIER, VT 05602
(802) 223-4738

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
Emily Byrne Fnp-bc 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.