MARK SIPE
NPI 1003265679
Nurse Practitioner - Psychiatric/Mental Health in Delray Beach, FL

NPI Status: Active since June 06, 2016

Contact Information

16158 S MILITARY TRL
DELRAY BEACH, FL
ZIP 33484
Phone: (561) 495-0522

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  • Individual
  • Male
  • Nurse Practitioner
  • Psychiatric/Mental Health
  • Accepts Insurance
  • PECOS Enrolled

About MARK SIPE

This page provides the complete NPI Profile along with additional information for Mark Sipe, a provider established in Delray Beach, Florida with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1003265679 assigned on June 2016. The practitioner's primary taxonomy code is 363LP0808X with license number 9430045 (FL). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1003265679
Provider Name
MARK SIPE
Gender
Male
Entity Type
Individual
Location Address
16158 S MILITARY TRL DELRAY BEACH, FL 33484
Location Phone
(561) 495-0522
Mailing Address
3601 N MILITARY TRL BOCA RATON, FL 33431
Is Sole Proprietor?
No
Enumeration Date
06-06-2016
Last Update Date
09-16-2016
Code Navigator

A nurse practitioner (NP) like Mark Sipe 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.

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

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
9430045
License State
FL

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163WP0809XNursing Service Providers

Registered Nurse
Psychiatric/Mental Health, Adult

0001242740 (VA)
2163WP0809XNursing Service Providers

Registered Nurse
Psychiatric/Mental Health, Adult

93000 (WV)
3163WP0809XNursing Service Providers

Registered Nurse
Psychiatric/Mental Health, Adult

9430045 (FL)

Insurance Plans Accepted

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

  • AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Essential + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Signature + No Referrals - HMO

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

Medicare Participation & PECOS Enrollment Status

Mark Sipe 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

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 216 times for 58 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 344 times for 88 patients

Injection of drug or substance under skin or into muscle

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

This service was performed 154 times for 31 patients

Psychiatric diagnostic evaluation with medical services

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

This service was performed 12 times for 12 patients

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 33484 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $91.69
  • Minimum New Patient Price $58.56
  • Maximum New Patient Price $179.05
  • Average New Patient Copayment $22.92
  • Minimum New Patient Copayment $14.64
  • Maximum New Patient Copayment $44.76

Established Patients Visit Costs *

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

  • Average Established Patient Price $103.21
  • Minimum Established Patient Price $18.44
  • Maximum Established Patient Price $144.68
  • Average Established Patient Copayment $25.8
  • Minimum Established Patient Copayment $4.61
  • Maximum Established Patient Copayment $36.17

* 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.

Reviews for MARK SIPE

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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 1003265679, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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
2
Doubled → 4
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
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 2 → 4 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 0 + 3 + 4 + 6 + 1 + 0 + 6 + 1 + 4 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1003265679.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker (Clinical)
16158 S MILITARY TRL
DELRAY BEACH, FL 33484
Counselor (Mental Health)
16158 S MILITARY TRL
DELRAY BEACH, FL 33484
Case Manager/Care Coordinator
16158 S MILITARY TRL
DELRAY BEACH, FL 33484
Psychiatry & Neurology (Child & Adolescent Psychiatry)
16158 S MILITARY TRL
DELRAY BEACH, FL 33484
Nurse Practitioner (Psychiatric/Mental Health)
16158 S MILITARY TRL
DELRAY BEACH, FL 33484
Nurse Practitioner (Psychiatric/Mental Health)
16158 S MILITARY TRL
DELRAY BEACH, FL 33484
Psychiatric Hospital
16158 S MILITARY TRL, BLD A
DELRAY BEACH, FL 33484
Social Worker
16158 S MILITARY TRL
DELRAY BEACH, FL 33484
Psychiatry & Neurology (Psychiatry)
16158 S MILITARY TRL, SOUTH COUNTY MENTAL HEALTH CENTER
DELRAY BEACH, FL 33484
Social Worker (Clinical)
16158 S MILITARY TRL
DELRAY BEACH, FL 33484
Counselor (Mental Health)
16158 S MILITARY TRL
DELRAY BEACH, FL 33484
Social Worker (Clinical)
16158 S MILITARY TRL
DELRAY BEACH, FL 33484
Social Worker (Clinical)
16158 S MILITARY TRL
DELRAY BEACH, FL 33484
Social Worker (Clinical)
16158 S MILITARY TRL
DELRAY BEACH, FL 33484
Social Worker (Clinical)
16158 S MILITARY TRL
DELRAY BEACH, FL 33484
Social Worker (Clinical)
16158 S MILITARY TRL
DELRAY BEACH, FL 33484
Social Worker (Clinical)
16158 S MILITARY TRL
DELRAY BEACH, FL 33484
Pharmacy
16158 S MILITARY TRL
DELRAY BEACH, FL 33484
Counselor (Mental Health)
16158 S MILITARY TRL
DELRAY BEACH, FL 33484
Case Management
16158 S MILITARY TRL
DELRAY BEACH, FL 33484

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003265679, enumerated as an "individual" on June 06, 2016.

The provider is located at 16158 S MILITARY TRL DELRAY BEACH, FL 33484 and the phone number is (561) 495-0522.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: AmeriHealth Caritas Next. Please consult your insurance carrier or call the provider to verify.