NICOLE S NIPPER NP NPI 1003016940

Nurse Practitioner in Rochester, MN

Individual Female Years of Experience 16 Nurse Practitioner PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 95.9

About NICOLE S NIPPER NP

Nicole Nipper is a provider established in Rochester, Minnesota and her medical specialization is Nurse Practitioner with more than 16 years of experience. The NPI number of Nicole Nipper is 1003016940 and was assigned on July 2007. The practitioner's primary taxonomy code is 363L00000X with license number 2226 (MN). The provider is registered as an individual and her NPI record was last updated 2 years ago.

A nurse practitioner (NP) like Nicole S Nipper 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.

NPI

1003016940

Provider Name NICOLE S NIPPER NP
Provider Location Address200 1ST ST SW ROCHESTER, MN 55905
Provider Mailing Address200 1ST ST SW ROCHESTER, MN 55905
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2007
Is Sole Proprietor?No
Enumeration Date07-19-2007
Last Update Date10-05-2020



Nicole Nipper 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.

Nicole Nipper 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 Mayo Clinic Hospital Rochester and Mayo Clinic Health System In Red Wing.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.9, 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: $22.21 for a new patient copayment and $25.76 for an established patient copayment.



Primary Taxonomy

Taxonomy Code363L00000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.2226
License StateMN
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

NICOLE S NIPPER NP
200 1ST ST SW
ROCHESTER, MN
ZIP 55905
Phone: (507) 284-2511

Get Directions


Mailing Address

NICOLE S NIPPER NP
200 1ST ST SW
ROCHESTER, MN
ZIP 55905
Phone: (507) 284-2511


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 ID840386629
PECOS Enrollment IDI20071010000482
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 55905 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
$57.95 $174.84 $88.84
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.48 $43.71 $22.21
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
$18.41 $143.56 $103.04
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.6 $35.89 $25.76

* 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.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's 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.

MIPS Measure Score Weight Score
Quality 40% 100
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 (PI) 25% 77.7
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 15% 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 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 20% 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.
MIPS Final Score - 95.9
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.

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. Nicole Nipper is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MAYO CLINIC HOSPITAL ROCHESTER1216 SECOND STREET SOUTHWEST
ROCHESTER, MN 55902
(507) 255-1991Acute Care Hospitals240010
MAYO CLINIC HEALTH SYSTEM IN RED WING701 HEWITT BOULEVARD
RED WING, MN 55066
(651) 267-5000Acute Care Hospitals240018

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
1363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerR 1435810MNNo

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.

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.
1003016940
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003011298
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 2 + 9 + 8 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1003016940 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1225031875 CHRISTINE MARIA MILLER MD, PHD
Individual
Radiology (Diagnostic Radiology)200 1ST ST SW
ROCHESTER, MN 55905
(507) 284-2511
1316942931DR. EMIL D. KORETZKY MD
Individual
Dermatology200 1ST ST SW
ROCHESTER, MN 55905
(507) 284-2511
1962403873 GLADYS A RADKE PAC
Individual
Physician Assistant200 1ST ST SW
ROCHESTER, MN 55905
(507) 284-2511
1649269408MRS. KILEY JO JOHNSON M.S.
Individual
Genetic Counselor, MS200 1ST ST SW
ROCHESTER, MN 55905
(507) 266-3317
1467443853 KARA A MENSINK M.S.
Individual
Genetic Counselor, MS200 1ST ST SW
ROCHESTER, MN 55905
(507) 538-2652
1346223872DR. LAWRENCE STEINKRAUS MD
Individual
Preventive Medicine (Public Health & General Preventive Medicine)200 1ST ST SW
ROCHESTER, MN 55905
(507) 284-2511
1164407920 LISA K BUSS PHARM.D.
Individual
Pharmacist200 1ST ST SW
ROCHESTER, MN 55905
(507) 284-1094
1295711604 DAVID R DAUGHERTY M.D.
Individual
Psychiatry & Neurology (Psychiatry)200 1ST ST SW
ROCHESTER, MN 55905
(507) 284-2511
1619953130 RENATO D ALARCON M.D.
Individual
Psychiatry & Neurology (Psychiatry)200 1ST ST SW
ROCHESTER, MN 55905
(507) 284-2511
1407832827 TANYA MARIE CADDELL R.PH.
Individual
Pharmacist200 1ST ST SW
ROCHESTER, MN 55905
(507) 284-2511
1841276235 MIGUEL E CABANELA M.D.
Individual
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)200 1ST ST SW
ROCHESTER, MN 55905
(507) 284-2511
1336125624 RONALD J FAUST M.D.
Individual
Anesthesiology200 1ST ST SW
ROCHESTER, MN 55905
(507) 284-2511
1558347948 MICHAEL A FARRELL M.D.
Individual
Radiology (Diagnostic Radiology)200 1ST ST SW
ROCHESTER, MN 55905
(507) 284-2511
1356327670 JAMES N INGLE M.D.
Individual
Internal Medicine (Medical Oncology)200 1ST ST SW
ROCHESTER, MN 55905
(507) 284-2511
1881670149 ROSALINA L ABBOUD M.D.
Individual
Obstetrics & Gynecology (Gynecology)200 1ST ST SW
ROCHESTER, MN 55905
(507) 284-2511
1679559058 DAVID R FARLEY M.D.
Individual
Surgery200 1ST ST SW
ROCHESTER, MN 55905
(507) 284-2511
1871579045 PAUL F MCGOUGH M.D.
Individual
Radiology (Diagnostic Radiology)200 1ST ST SW
ROCHESTER, MN 55905
(507) 284-2511
1427034636 DARLENE G KELLY M.D.
Individual
Internal Medicine (Gastroenterology)200 1ST ST SW
ROCHESTER, MN 55905
(507) 284-2511
1700862943 DANIEL J BLUM M.D.
Individual
Otolaryngology200 1ST ST SW
ROCHESTER, MN 55905
(507) 284-2511
1407832645 JOHN B COLLINS M.D.
Individual
Family Medicine200 1ST ST SW
ROCHESTER, MN 55905
(507) 284-2511

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
Nicole S Nipper 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.