EMILY BYRNE FNP-BC NPI 1003013608
Nurse Practitioner - Family in Montpelier, VT
About EMILY BYRNE FNP-BC
Emily Byrne is a provider established in Montpelier, Vermont and her medical specialization is Nurse Practitioner with a focus in family with more than 21 years of experience. She graduated from Jefferson Medical College Of Thomas Jefferson University in 2002. The NPI number of this provider 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.
| NPI | 1003013608 |
| Provider Name | EMILY BYRNE FNP-BC |
| Location Address | 156 MAIN ST MONTPELIER, VT 05602 |
| Location Phone | (802) 223-4738 |
| Mailing Address | PO BOX 547 CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT BARRE, VT 05641 |
| Gender | Female |
| NPI Entity Type | Individual |
| 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 |
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 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.
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 Code | 363LF0000X |
| Classification | Nurse Practitioner |
| Type | Physician Assistants & Advanced Practice Nursing Providers |
| Specialization | Family |
| License No. | 1010025996 |
| License State | VT |
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
156 MAIN ST
MONTPELIER, VT
ZIP 05602
Phone: (802) 223-4738
Fax: (802) 223-6067
Mailing Address
PO BOX 547
CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT
BARRE, VT
ZIP 05641
Phone: (802) 223-4738
Fax: (802) 223-6067
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 ID | 9234029448 |
| PECOS Enrollment ID | I20070802000126 |
| 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 Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
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)
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 |
|---|---|---|
| 000126501 | MEDICARE PIN (08) | VT |
| P83308 | MEDICARE UPIN (02) | |
| 1013922 | MEDICAID (05) | VT |
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. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 1 | 3 | 6 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 6 | 6 | 0 | |
| 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 = 8 | 8 | ||||||||
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 Assistant | 156 MAIN ST MONTPELIER HEALTH CENTER MONTPELIER, VT 05602 (802) 223-4738 |
| 1881834331 | KERRY JENNI L.AC. Individual | Acupuncturist | 156 MAIN ST STE 103 MONTPELIER, VT 05602 (802) 223-0954 |
| 1326021684 | MONIQUE JEANETTE KARTHAUS MS PA-C Individual | Physician Assistant | 156 MAIN ST MONTPELIER, VT 05602 (802) 223-4738 |
| 1013097161 | MS. JENNIFER IVY GORDON MSW Individual | Social Worker (Clinical) | 156 MAIN ST MONTPELIER, VT 05602 (802) 223-4738 |
| 1487728655 | DR. PAUL D LAFFAL MD Individual | Family Medicine | 156 MAIN ST MONTPELIER, VT 05602 (802) 223-4738 |
| 1497718928 | JEREMIAN M ECKHAUS M.D. Individual | Family Medicine | 156 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 |
| 1245240753 | DR. RIMA BETH CARLSON MD Individual | Family Medicine | 156 MAIN ST MONTPELIER, VT 05602 (802) 223-4738 |
| 1982869111 | DR. 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 Medicine | 156 MAIN ST MONTPELIER, VT 05602 (802) 223-4738 |
| 1295846590 | MARCIA A. DION MS Individual | Audiologist-Hearing Aid Fitter | 156 MAIN ST SUITE 4 MONTPELIER, VT 05602 (802) 229-5868 |
| 1477916062 | DR. EMILY GREER JONES MD Individual | Family Medicine | 156 MAIN ST MONTPELIER, VT 05602 (802) 223-4738 |
| 1225326739 | INTEGRATIVE ACUPUNCTURE AND ORIENTAL MEDICINE LLC Organization | Naturopath | 156 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 |
Frequently Asked Questions
What is Emily Byrne FNP-BC NPI number?
The NPI number assigned to this healthcare provider is 1003013608, registered as an "individual" on June 28, 2007
Where is Emily Byrne FNP-BC located?
The provider is located at 156 Main St Montpelier, Vt 05602 and the phone number is (802) 223-4738
Which is Emily Byrne FNP-BC specialty?
The provider's speciality is Nurse Practitioner with a focus in Family
How many years of experience does Emily Byrne FNP-BC have?
The provider has more than 21 years of experience. She graduated from Jefferson Medical College Of Thomas Jefferson University in 2002.
What insurance does Emily Byrne FNP-BC 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 Emily Byrne FNP-BC registered in PECOS?
Yes, as of March 13, 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 Emily Byrne FNP-BC?
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.
What are some of the services provided by Emily Byrne FNP-BC?
The most common procedures or services performed by this practitioner are: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit and Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report.
How do I update my NPI information?
The NPI record of Emily Byrne FNP-BC 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]
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