JAMES O NELL CRNA NPI 1013088632
Nurse Anesthetist, Certified Registered in York, PA

About JAMES O NELL CRNA

James Nell is a provider established in York, Pennsylvania and his medical specialization is Nurse Anesthetist, Certified Registered with more than 17 years of experience. The NPI number of James Nell is 1013088632 and was assigned on November 2006. The practitioner's primary taxonomy code is 367500000X with license number RN523009L (PA). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1013088632
Provider Name JAMES O NELL CRNA
Location Address1001 S GEORGE ST YORK, PA 17403
Location Phone(717) 812-7687
Mailing Address3421 CONCORD RD YORK, PA 17402
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2006
Is Sole Proprietor?No
Enumeration Date11-13-2006
Last Update Date01-20-2022

James Nell 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.

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 Code367500000X
ClassificationNurse Anesthetist, Certified Registered
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.RN523009L
License StatePA
Taxonomy Description(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

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

JAMES O NELL CRNA
1001 S GEORGE ST
YORK, PA
ZIP 17403
Phone: (717) 812-7687

Get Directions


Mailing Address

JAMES O NELL CRNA
3421 CONCORD RD
YORK, PA
ZIP 17402
Phone: (717) 812-7687


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.

PECOS PAC ID1052312154
PECOS Enrollment IDI20070116000166
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.

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 17403 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.

  • 58Anesthesia for procedure on lower intestine using an endoscope (HCPCS:00810)
  • 47Anesthesia for procedure on gastrointestinal tract using an endoscope (HCPCS:00740)
  • 11Emergent insertion of breathing tube into windpipe cartilage using an endoscope (HCPCS:31500)

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. James Nell is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
WELLSPAN YORK HOSPITAL1001 SOUTH GEORGE STREET
YORK, PA 17403
(717) 851-4495Acute Care Hospitals390046
WELLSPAN SURGERY AND REHABILITATION HOSPITAL55 MONUMENT ROAD
YORK, PA 17403
(717) 812-6100Acute Care Hospitals390327

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
1018996770002MEDICAID (05)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.
1013088632
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023081666
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 1 + 6 + 6 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1013088632 is valid because the calculated check digit 2 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
1538154430 SHAWN ANDRE SLENKER PHARMD, CACP
Individual
Pharmacist (Pharmacotherapy)1001 S GEORGE ST
YORK, PA 17403
(717) 851-2787
1336135243 GERARD ALAN WAGGENSPACK MD
Individual
Radiology (Diagnostic Radiology)1001 S GEORGE ST
YORK, PA 17403
(717) 851-4624
1477540664 DAE SOO BHYUN MD
Individual
Radiology (Diagnostic Radiology)1001 S GEORGE ST
YORK, PA 17403
(717) 851-4624
1164411617DR. JOHN DAVID OWENS MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1001 S GEORGE ST
YORK, PA 17403
(717) 851-5001
1225011257 SETH MAC QUARTEY M.D.
Individual
Internal Medicine (Infectious Disease)1001 S GEORGE ST MKB 4TH FLR
YORK, PA 17403
(717) 851-2417
1932182862 JOHN H MCCONVILLE M.D.
Individual
Internal Medicine (Infectious Disease)1001 S GEORGE ST 4TH FLOOR KETTERMAN BUILDING
YORK, PA 17403
(717) 851-2417
1972589315 FREDERICK FLACCAVENTO MD
Individual
Anesthesiology1001 S GEORGE ST
YORK, PA 17403
(717) 851-2345
1790761856 DOUGLAS ARBITTIER MD
Individual
Anesthesiology1001 S GEORGE ST
YORK, PA 17403
(717) 851-2345
1730165796 THOMAS BRIDE DO
Individual
Anesthesiology1001 S GEORGE ST
YORK, PA 17403
(717) 851-2345
1326024480 CHARLES LEVINE MD
Individual
Anesthesiology1001 S GEORGE ST
YORK, PA 17403
(717) 851-2345
1144206202 CLAUDIA DEITRICH MD
Individual
Anesthesiology1001 S GEORGE ST
YORK, PA 17403
(717) 851-2345
1134105299 DANIEL DEREWITZ MD
Individual
Anesthesiology1001 S GEORGE ST
YORK, PA 17403
(717) 851-2345
1902882061 MICHAEL SOPCHAK MD
Individual
Anesthesiology1001 S GEORGE ST
YORK, PA 17403
(717) 851-2345
1639155799 CHERYL DOLAND MD
Individual
Anesthesiology1001 S GEORGE ST
YORK, PA 17403
(717) 851-2345
1356327415 ANN MARIE UPDEGRAFF CRNA
Individual
Nurse Anesthetist, Certified Registered1001 S GEORGE ST
YORK, PA 17403
(717) 851-2345
1891771952 ARTHUR SMALLEY MD
Individual
Anesthesiology1001 S GEORGE ST
YORK, PA 17403
(717) 851-2345
1700862869 STEVEN PEARCE MD
Individual
Anesthesiology1001 S GEORGE ST
YORK, PA 17403
(717) 851-2345
1255317319 CYNTHIA PICKELL CRNA
Individual
Nurse Anesthetist, Certified Registered1001 S GEORGE ST
YORK, PA 17403
(717) 851-2345
1831175991 FRANCES KAZMIERSKI-WELSH CRNA
Individual
Nurse Anesthetist, Certified Registered1001 S GEORGE ST
YORK, PA 17403
(717) 851-2345
1386620441 PATRICK MCGANNON MD
Individual
Anesthesiology1001 S GEORGE ST
YORK, PA 17403
(717) 851-2345

Frequently Asked Questions

What is James Nell CRNA NPI number?

The NPI number assigned to James Nell CRNA is 1013088632, registered as an "individual" on November 13, 2006

Where is James Nell CRNA located?

The provider is located at 1001 S George St York, Pa 17403 and the phone number is (717) 812-7687

Which is James Nell CRNA specialty?

The provider's speciality is Nurse Anesthetist, Certified Registered

How many years of experience does James Nell CRNA have?

The provider has more than 17 years of experience.

What insurance does James Nell CRNA 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.

How much is a visit to James Nell CRNA?

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 James Nell CRNA?

The most common procedures or services performed by this practitioner are: Anesthesia for procedure on lower intestine using an endoscope, Anesthesia for procedure on gastrointestinal tract using an endoscope and Emergent insertion of breathing tube into windpipe cartilage using an endoscope.

Is James Nell CRNA affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: WELLSPAN YORK HOSPITAL and WELLSPAN SURGERY AND REHABILITATION 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 James Nell CRNA was last updated on November 13, 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]