EMILY BYRNE FNP-BC
NPI 1003013608
Nurse Practitioner - Family in Montpelier, VT

NPI Status: Active since June 28, 2007

Contact Information

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

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  • Individual
  • Female
  • Years of Experience 22
  • Nurse Practitioner
  • Family
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About EMILY BYRNE

Emily Byrne is a provider established in Montpelier, Vermont and her medical specialization is Nurse Practitioner with a focus in family with more than 22 years of experience. She graduated from Jefferson Medical College Of Thomas Jefferson University in 2002. The healthcare provider is registered in the NPI registry with number 1003013608 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 10 years ago.

NPI
1003013608
Provider Name
EMILY BYRNE FNP-BC
Gender
Female
Entity Type
Individual
Location Address
156 MAIN ST MONTPELIER, VT 05602
Location Phone
(802) 223-4738
Location Fax
(802) 223-6067
Mailing Address
PO BOX 547 CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT BARRE, VT 05641
Mailing Phone
(802) 223-4738
Mailing Fax
(802) 223-6067
Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year
2002
Is Sole Proprietor?
No
Enumeration Date
06-28-2007
Last Update Date
10-10-2014
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A nurse practitioner (NP) like Emily Byrne 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 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 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.

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 Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
1010025996
License State
VT

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Blue Cross and Blue Shield

    • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
    • Anthem Bronze Access Blue New England HMO 8500/50%/9450 - HMO
    • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
    • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
    • Anthem Gold Access Blue New England HMO 2000/10%/4725 w/HSA - HMO
    • Anthem Gold Access Blue New England HMO 2000/10%/8000 - HMO
    • Anthem Gold Access Blue New England HMO 2000/10%/8000 WH - HMO
    • Anthem Gold Access Blue New England HMO 2000/20%/4725 w/HSA - HMO
    • Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
    • Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
    • Anthem Platinum Access Blue New England HMO 250/10%/3000 - HMO
    • Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
    • Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
    • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
    • Anthem Silver Access Blue New England HMO 3200/20%/7250 w/HSA - HMO
  • Medicare

  • Medicaid


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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000126501MEDICARE PIN (08)VT 
P83308MEDICARE UPIN (02) 
1013922MEDICAID (05)VT 

PECOS Enrollment and Medicare Participation Status

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.

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: 9234029448

    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: I20070802000126

    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.

Durable Medical Equipment

  • Other DME (D1E)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    6 DME suppliers used 12 Medicare Claims 44 Services Paid

  • Oxygen and supplies (D1C)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    2 DME suppliers used 21 Medicare Claims 21 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 05602 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $89.24
  • Minimum New Patient Price $58.12
  • Maximum New Patient Price $175.83
  • Average New Patient Copayment $22.31
  • Minimum New Patient Copayment $14.53
  • Maximum New Patient Copayment $43.95

Established Patients Visit Costs *

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

  • Average Established Patient Price $103.32
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $144.08
  • Average Established Patient Copayment $25.83
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $36.02

* 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.

Clinician Services

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 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 26

    Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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 Overall Rating
MARY HITCHCOCK MEMORIAL HOSPITAL1 MEDICAL CENTER DRIVE
LEBANON, NH 3756
(603) 650-5000Acute Care Hospitals
CENTRAL VERMONT MEDICAL CENTERBOX 547
BARRE, VT 5641
(802) 371-4100Acute Care Hospitals

Reviews for EMILY BYRNE FNP-BC

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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.
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 15 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
1881834331 KERRY JENNI L.AC.
Individual
Acupuncturist156 MAIN ST STE 103
MONTPELIER, VT 05602
(802) 223-0954
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
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
1497718928 JEREMIAH M ECKHAUS M.D.
Individual
Family Medicine156 MAIN ST
MONTPELIER, VT 05602
(802) 223-4738
1326021684 MONIQUE JEANETTE KARTHAUS MS PA-C
Individual
Physician Assistant156 MAIN ST
MONTPELIER, VT 05602
(802) 223-4738

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003013608, enumerated in the NPI registry as an "individual" on June 28, 2007

The provider is located at 156 Main St Montpelier, Vt 05602 and the phone number is (802) 223-4738

The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider has more than 22 years of experience. She graduated from Jefferson Medical College Of Thomas Jefferson University in 2002.

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

Yes, as of May 10, 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.

Medicare beneficiaries should expect a typical cost of $89.24 with an average copayment of $22.31 for new patient appointments. Established patients should expect a typical charge of $103.32 and an average copayment of 25.83. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit.

The practitioner is affiliated to the following hospital(s): MARY HITCHCOCK MEMORIAL HOSPITAL and CENTRAL VERMONT MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 28, 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.