SUZANNE M HESS N.P. NPI 1013054436

Nurse Practitioner (Adult Health) in Livingston, NJ

NPI 1013054436 Individual Female Years of Experience 25 Nurse Practitioner Adult Health PECOS Enrolled Accepts Medicare Approved Payment

NPI Profile for SUZANNE M HESS N.P.

Suzanne Hess is a provider established in Livingston, New Jersey and her medical specialization is nurse practitioner (adult health) with more than 25 years of experience. The NPI number of Suzanne Hess is 1013054436 and was assigned on February 2007. The practitioner's primary taxonomy code is 363LA2200X with license number NN10601300 (NJ). The provider is registered as an individual and her NPI record was last updated 14 years ago.

A nurse practitioner (NP) like Suzanne M Hess N.p. 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.

Suzanne Hess 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.

Suzanne Hess 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 Morristown Medical Center and Overlook Medical Center.

The typical physician office visit costs for Medicare beneficiaries in this area are: $25.35 for a new patient copayment and $29.21 for an established patient copayment.

NPI

1013054436

Provider Name SUZANNE M HESS N.P.
Provider Location Address349 E NORTHFIELD RD SUITE 200 LIVINGSTON, NJ 07039
Provider Mailing Address349 E NORTHFIELD RD SUITE 200 LIVINGSTON, NJ 07039
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1998
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date02-01-2007
Last Update Date03-16-2008


Primary Taxonomy

Taxonomy Code363LA2200X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationAdult Health
License No.NN10601300
License StateNJ

Business Address

SUZANNE M HESS N.P.
349 E NORTHFIELD RD
SUITE 200
LIVINGSTON, NJ
ZIP 07039
Phone: (973) 597-0900
Fax: (973) 597-0910

Get Directions


Mailing Address

SUZANNE M HESS N.P.
349 E NORTHFIELD RD
SUITE 200
LIVINGSTON, NJ
ZIP 07039
Phone: (973) 597-0900
Fax: (973) 597-0910



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 ID8224186770
PECOS Enrollment IDI20090511000463
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 07039 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
$66.45 $198.48 $101.4
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$16.61 $49.62 $25.35
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
$21.27 $162.58 $116.86
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.31 $40.64 $29.21

* 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.

  • 16Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 14Administration of influenza virus vaccine (HCPCS:G0008)

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. Suzanne Hess is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MORRISTOWN MEDICAL CENTER100 MADISON AVE
MORRISTOWN, NJ 7960
(973) 971-5000Acute Care Hospitals310015
OVERLOOK MEDICAL CENTER99 BEAUVOIR AVENUE
SUMMIT, NJ 7902
(908) 522-2000Acute Care Hospitals310051

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
S96440MEDICARE UPIN (02)NJ
034535NT1MEDICARE PIN (08)NJ

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1013054436
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202305846
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 5 + 8 + 4 + 6 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1013054436 is valid because the calculated check digit 6 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
1487646444DR. AI-LAN WANG MD
Individual
Internal Medicine349 E NORTHFIELD RD STE 106
LIVINGSTON, NJ 07039
(973) 533-9255
1437132602 LIANG LIANG M.D.
Individual
Internal Medicine349 E NORTHFIELD RD SUITE 217
LIVINGSTON, NJ 07039
(973) 422-0995
1033152244DR. MICHAEL GUTKIN M.D.
Individual
Internal Medicine (Nephrology)349 E NORTHFIELD RD SUITE 202
LIVINGSTON, NJ 07039
(973) 597-1107
1609806181DR. MARILYN DENISE MC ARTHUR M.D.
Individual
Obstetrics & Gynecology349 E NORTHFIELD RD SUITE 212
LIVINGSTON, NJ 07039
(973) 758-9311
1295757359 GIGI DIAMOND M.D.
Individual
Internal Medicine (Infectious Disease)349 E NORTHFIELD RD SUITE 200
LIVINGSTON, NJ 07039
(973) 597-0900
1073528634DR. JAMES ANDREW ROMMER MD
Individual
Internal Medicine349 E NORTHFIELD RD
LIVINGSTON, NJ 07039
(973) 992-2227
1568558799LIVINGSTON MEDICAL ASSOCIATES PA
Organization
Internal Medicine349 E NORTHFIELD RD SUITE 107
LIVINGSTON, NJ 07039
(973) 535-8311
1538207063DR. DAVID SILVERSTROM DDS
Individual
Dentist (General Practice)349 E NORTHFIELD RD SUITE 214
LIVINGSTON, NJ 07039
(973) 992-3990
1427197870JOHN FERNANDES M.D FACC LLC
Organization
Pediatrics (Pediatric Cardiology)349 E NORTHFIELD RD SUITE 201
LIVINGSTON, NJ 07039
(973) 533-1031
1831231380 TOROS S SHAHINIAN MD
Individual
Internal Medicine349 E NORTHFIELD RD
LIVINGSTON, NJ 07039
(973) 994-4202
1861535239FAMILY FOOTCARE OF LIVINGSTON LLC
Organization
Podiatrist (Foot & Ankle Surgery)349 E NORTHFIELD RD
LIVINGSTON, NJ 07039
(973) 992-9214
1881729150DR. STUART MARK ROTHMAN O.D.
Individual
Optometrist349 E NORTHFIELD RD SUITE LL3
LIVINGSTON, NJ 07039
(973) 992-0998
1881721033 WILLIAM CHRISTOPHER GERARD DMD
Individual
Dentist (General Practice)349 E NORTHFIELD RD SUITE 112
LIVINGSTON, NJ 07039
(973) 740-1277
1558586685DR. DANIEL BENJAMIN NEJAT DMD
Individual
Dentist (Periodontics)349 E NORTHFIELD RD SUITE 207
LIVINGSTON, NJ 07039
(973) 535-4300
1306063235DR. DORITA NEWSOME-DOBBINS D.M.D.
Individual
Dentist (General Practice)349 E NORTHFIELD RD SUITE 206
LIVINGSTON, NJ 07039
(973) 992-2323
1942418512COMPREHENSIVE DERMATOLOGY CENTER
Organization
Dermatology349 E NORTHFIELD RD
LIVINGSTON, NJ 07039
(973) 992-0550
1003024563FOOT CARE OF LIVINGSTON PC
Organization
Podiatrist349 E NORTHFIELD RD LOWER LEVEL 6
LIVINGSTON, NJ 07039
(973) 992-9214
1275733305DR. MAURICIO LAVIE D.M.D.
Individual
Dentist (Prosthodontics)349 E NORTHFIELD RD SUITE 112
LIVINGSTON, NJ 07039
(973) 740-1277
1003098302LOUIS RIZIO III MD PA
Organization
Orthopaedic Surgery349 E NORTHFIELD RD SUITE 120
LIVINGSTON, NJ 07039
(973) 758-1078
1922262567DR. GARY SILVERSTROM DDS
Individual
Dentist (General Practice)349 E NORTHFIELD RD
LIVINGSTON, NJ 07039
(973) 992-3990

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
Suzanne M Hess N.p. 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.