DR. COLEEN MARIE ANDRUSS M.D.
NPI 1023235645
Specialist in Saint George, UT
NPI Status: Active since April 18, 2007
Contact Information
1173 S. 250 W.
SUITE #110 - BLACKRIDGE TERRACE
SAINT GEORGE, UT
ZIP 84770
Phone: (435) 986-3800
Fax: (435) 986-9018
- Individual
- Female
- Specialist
- PECOS Enrolled
- Opted-Out Medicare
About COLEEN ANDRUSS
This page provides the complete NPI Profile along with additional information for Coleen Andruss, a provider established in Saint George, Utah with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1023235645 assigned on April 2007. The practitioner's primary taxonomy code is 174400000X with license number 983601601205 (UT). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1023235645
- Provider Name
- DR. COLEEN MARIE ANDRUSS M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1173 S. 250 W. SUITE #110 - BLACKRIDGE TERRACE SAINT GEORGE, UT 84770
- Location Phone
- (435) 986-3800
- Location Fax
- (435) 986-9018
- Mailing Address
- 1173 S. 250 W. SUITE #110 - BLACKRIDGE TERRACE SAINT GEORGE, UT 84770
- Mailing Phone
- (435) 986-3800
- Mailing Fax
- (435) 986-9018
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-18-2007
- Last Update Date
- 07-08-2007
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Coleen Andruss opted out of Medicare effective on 02-08-2016 until 02-08-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 983601601205
- License State
- UT
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| F55485 | MEDICARE UPIN (02) | UT |
Medicare Participation & PECOS Enrollment Status
Coleen Andruss 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
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 02-08-2016
Opt-Out End Date: 02-08-2026
Eligible to Order and Refer? 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
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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. | |||||||||
| 1 | 0 | 2 | 3 | 2 | 3 | 5 | 6 | 4 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 4 | 3 | 10 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 4 + 3 + 1 + 0 + 6 + 8 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1023235645 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023235645, enumerated as an "individual" on April 18, 2007.
The provider is located at 1173 S. 250 W. SUITE #110 - BLACKRIDGE TERRACE SAINT GEORGE, UT 84770 and the phone number is (435) 986-3800.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
