MRS. KAREN PAULEY PA-C
NPI 1003079328
Physician Assistant - Medical in Marion, OH

NPI Status: Active since July 07, 2008

Contact Information

402 S STATE ST
MARION, OH
ZIP 43302
Phone: (740) 387-4115
Fax: (740) 387-9210

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  • Individual
  • Female
  • Physician Assistant
  • Medical
  • PECOS Enrolled

About KAREN PAULEY

This page provides the complete NPI Profile along with additional information for Karen Pauley, a primary care provider established in Marion, Ohio with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1003079328 assigned on July 2008. The practitioner's primary taxonomy code is 363AM0700X with license number 50000436 (OH). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1003079328
Provider Name
MRS. KAREN PAULEY PA-C
Gender
Female
Entity Type
Individual
Location Address
402 S STATE ST MARION, OH 43302
Location Phone
(740) 387-4115
Location Fax
(740) 387-9210
Mailing Address
22100 STATE ROUTE 245 MARYSVILLE, OH 43040
Mailing Phone
(937) 642-6274
Is Sole Proprietor?
No
Enumeration Date
07-07-2008
Last Update Date
07-07-2008
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A primary care provider (PCP) like Karen Pauley sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
50000436
License State
OH

Medicare Participation & PECOS Enrollment Status

Karen Pauley 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

  • 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

  • DME-Other DME (DE017N)

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

    5 DME suppliers used 24 Medicare Claims 75 Services Paid

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003079328, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
2
Doubled → 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 9 → 18 → 9 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 0 + 7 + 1 + 8 + 3 + 4 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1003079328.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Internal Medicine
402 S STATE ST
MARION, OH 43302
Internal Medicine
402 S STATE ST
MARION, OH 43302
Physician Assistant
402 S STATE ST
MARION, OH 43302

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003079328, enumerated as an "individual" on July 07, 2008.

The provider is located at 402 S STATE ST MARION, OH 43302 and the phone number is (740) 387-4115.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.