PHINA A MAYU NP
NPI 1003383795
Nurse Practitioner - Adult Health in Providence, RI

NPI Status: Active since October 31, 2018

Contact Information

1 RANDALL SQ
PROVIDENCE, RI
ZIP 02904
Phone: (401) 274-6339
Fax: (401) 453-6290

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  • Individual
  • Female
  • Years of Experience 8
  • Nurse Practitioner
  • Adult Health
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About PHINA MAYU

This page provides the complete NPI Profile along with additional information for Phina Mayu, a provider established in Providence, Rhode Island with a medical specialization in Nurse Practitioner, focusing in adult health and more than 8 years of experience. The healthcare provider is registered in the NPI registry with number 1003383795 assigned on October 2018. The practitioner's primary taxonomy code is 363LA2200X with license number APRN01949 (RI). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1003383795
Provider Name
PHINA A MAYU NP
Gender
Female
Entity Type
Individual
Location Address
1 RANDALL SQ PROVIDENCE, RI 02904
Location Phone
(401) 274-6339
Location Fax
(401) 453-6290
Mailing Address
375 ALLENS AVE PROVIDENCE, RI 02905
Mailing Phone
(401) 444-0400
Mailing Fax
(401) 453-6290
Medical School Name
OTHER
Graduation Year
2018
Is Sole Proprietor?
No
Enumeration Date
10-31-2018
Last Update Date
02-16-2020
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A nurse practitioner (NP) like Phina Mayu 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 Adult Health

Taxonomy Code
363LA2200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
APRN01949
License State
RI

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)
1363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental Health

APRN01949 (RI)

Insurance Plans Accepted

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

  • NH Local Choice HMO Bronze 8000 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO Gold + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO Gold 1400 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO HSA Bronze 6000 - HMO
  • NH Local Choice HMO Silver 3500 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO Silver 5000 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local HMO Bronze 7500 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local HMO Gold 2000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local HMO Silver 6000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO

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

Medicare Participation & PECOS Enrollment Status

Phina Mayu is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Phina Mayu 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: 3779829817

    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: I20190110003389

    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? Maybe

    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

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 02904 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $90.48
  • Minimum New Patient Price $58.57
  • Maximum New Patient Price $177.03
  • Average New Patient Copayment $22.62
  • Minimum New Patient Copayment $14.64
  • Maximum New Patient Copayment $44.25

Established Patients Visit Costs *

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

  • Average Established Patient Price $103.1
  • Minimum Established Patient Price $18.92
  • Maximum Established Patient Price $144.38
  • Average Established Patient Copayment $25.77
  • Minimum Established Patient Copayment $4.73
  • Maximum Established Patient Copayment $36.09

* 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 PHINA A MAYU NP

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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 1003383795, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
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 3 → 6 3 → 6 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 0 + 3 + 6 + 8 + 6 + 7 + 1 + 8 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1003383795.

Other Providers at the Same Location


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

Pediatrics
1 RANDALL SQ, SUITE 404-406
PROVIDENCE, RI 02904
Ophthalmology
1 RANDALL SQ, SUITE 203
PROVIDENCE, RI 02904
Surgery
1 RANDALL SQ, SUITE 406
PROVIDENCE, RI 02904
Obstetrics & Gynecology
1 RANDALL SQ, SUITE 401
PROVIDENCE, RI 02904
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1 RANDALL SQ, STE 414
PROVIDENCE, RI 02904
Obstetrics & Gynecology
1 RANDALL SQ, SUITE 401
PROVIDENCE, RI 02904
Obstetrics & Gynecology
1 RANDALL SQ
PROVIDENCE, RI 02904
Pediatrics
1 RANDALL SQ, SUITE 404
PROVIDENCE, RI 02904
Internal Medicine (Cardiovascular Disease)
1 RANDALL SQ, SUITE 305
PROVIDENCE, RI 02904
Internal Medicine (Cardiovascular Disease)
1 RANDALL SQ, SUITE 305
PROVIDENCE, RI 02904
Internal Medicine (Cardiovascular Disease)
1 RANDALL SQ, SUITE 305
PROVIDENCE, RI 02904
Psychiatry & Neurology (Neurology)
1 RANDALL SQ, SUITE 409
PROVIDENCE, RI 02904
Specialist
1 RANDALL SQ, SUITE 402
PROVIDENCE, RI 02904
Pediatrics
1 RANDALL SQ, SUITE 404-406
PROVIDENCE, RI 02904
Clinical Medical Laboratory
1 RANDALL SQ, SUITE 307
PROVIDENCE, RI 02904
Registered Nurse (Diabetes Educator)
1 RANDALL SQ
PROVIDENCE, RI 02904
Obstetrics & Gynecology (Gynecology)
1 RANDALL SQ, SUITE 205
PROVIDENCE, RI 02904
Obstetrics & Gynecology
1 RANDALL SQ, SUITE 205
PROVIDENCE, RI 02904
Specialist
1 RANDALL SQ
PROVIDENCE, RI 02904
Physiological Laboratory
1 RANDALL SQ, SUITE 409
PROVIDENCE, RI 02904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003383795, enumerated as an "individual" on October 31, 2018.

The provider is located at 1 RANDALL SQ PROVIDENCE, RI 02904 and the phone number is (401) 274-6339.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.

The provider might be accepting Accepts: Harvard Pilgrim Health Care. Please consult your insurance carrier or call the provider to verify.