MICHAEL ALEXIS MEWES CRNP NPI 1013082874
Nurse Practitioner - Family in Seneca, PA

About MICHAEL ALEXIS MEWES CRNP

Michael Mewes is a provider established in Seneca, Pennsylvania and his medical specialization is Nurse Practitioner with a focus in family with more than 25 years of experience. The NPI number of Michael Mewes is 1013082874 and was assigned on November 2006. The practitioner's primary taxonomy code is 363LF0000X with license number TP005101B (PA). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1013082874
Provider Name MICHAEL ALEXIS MEWES CRNP
Location AddressONE PARK WAY SENECA, PA 16346
Location Phone(814) 676-5444
Mailing AddressPO BOX 802 ONE PARK WAY, SENECA, PA 16346
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1998
Is Sole Proprietor?No
Enumeration Date11-21-2006
Last Update Date06-13-2011

A nurse practitioner (NP) like Michael Alexis Mewes Crnp 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.Michael Mewes 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.

Michael Mewes 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 he has hospital affiliations with Butler Memorial Hospital.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.99 for a new patient copayment and $25.4 for an established patient copayment.



Primary Taxonomy

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.

Taxonomy Code363LF0000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily
License No.TP005101B
License StatePA

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

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

Business Address

MICHAEL ALEXIS MEWES CRNP
ONE PARK WAY
SENECA, PA
ZIP 16346
Phone: (814) 676-5444
Fax: (814) 676-0342

Get Directions


Mailing Address

MICHAEL ALEXIS MEWES CRNP
PO BOX 802
ONE PARK WAY,
SENECA, PA
ZIP 16346
Phone: (814) 676-5444
Fax: (814) 676-0342


Location Map

PECOS Enrollment and Medicare Participation Status

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 ID5991847428
PECOS Enrollment IDI20100122000075
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 16346 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
$57.02 $174.05 $87.96
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.25 $43.51 $21.99
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
$17.59 $142.08 $101.62
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.39 $35.52 $25.4

* 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.

  • 30Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

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. Michael Mewes is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
BUTLER MEMORIAL HOSPITALONE HOSPITAL WAY
BUTLER, PA 16001
(724) 283-6666Acute Care Hospitals390168

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
S72307MEDICARE UPIN (02)PA

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.
1013082874
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023084814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 4 + 8 + 1 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1013082874 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558331280DR. BRADLEY A FELL M.D.
Individual
Family MedicineONE PARK WAY
SENECA, PA 16346
(814) 676-5444
1366535759 SUSEN A ROSSINO MD
Individual
Family MedicineONE PARK WAY
SENECA, PA 16346
(814) 676-5444
1467527952 KIMBERLEY L DAVIS CRNP
Individual
Nurse Practitioner (Family)ONE PARK WAY
SENECA, PA 16346
(814) 676-5444
1982770822 CYNTHIA J PORTER CRNP
Individual
Nurse Practitioner (Occupational Health)ONE PARK WAY
SENECA, PA 16346
(814) 676-5444
1770745754DR. KEITH WOLFE D.O.
Individual
Family MedicineONE PARK WAY
SENECA, PA 16346
(814) 676-5444
1548400658MR. ERIC DONALD COSTON PA-C
Individual
Physician Assistant (Medical)ONE PARK WAY
SENECA, PA 16346
(814) 676-5444
1225008188DR. NORMAN K BEALS III M.D.
Individual
Family MedicineONE PARK WAY
SENECA, PA 16346
(814) 676-5444

Frequently Asked Questions

What is Michael Mewes CRNP NPI number?

The NPI number assigned to Michael Mewes CRNP is 1013082874, registered as an "individual" on November 21, 2006

Where is Michael Mewes CRNP located?

The provider is located at One Park Way Seneca, Pa 16346 and the phone number is (814) 676-5444

Which is Michael Mewes CRNP specialty?

The provider's speciality is Nurse Practitioner with a focus in Family

How many years of experience does Michael Mewes CRNP have?

The provider has more than 25 years of experience.

What insurance does Michael Mewes CRNP accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Michael Mewes CRNP registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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.

How much is a visit to Michael Mewes CRNP?

Medicare beneficiaries should expect a typical cost of $87.96 with an average copayment of $21.99 for new patient appointments. Established patients should expect a typical charge of $101.62 and an average copayment of 25.4. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Michael Mewes CRNP?

The most common procedures or services performed by this practitioner are: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit.

Is Michael Mewes CRNP affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: BUTLER MEMORIAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Michael Mewes CRNP was last updated on November 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]