MS. KATHRYN RENEE MCZEKE FNP
NPI 1043663750
Nurse Practitioner - Family in Myrtle Beach, SC

NPI Status: Active since July 18, 2016

Contact Information

920 DOUG WHITE DR STE 460
MYRTLE BEACH, SC
ZIP 29572
Phone: (843) 449-2336
Fax: (843) 692-2174

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  • Individual
  • Female
  • Nurse Practitioner
  • Family
  • Accepts Insurance
  • PECOS Enrolled

About KATHRYN MCZEKE

This page provides the complete NPI Profile along with additional information for Kathryn Mczeke, a provider established in Myrtle Beach, South Carolina with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1043663750 assigned on July 2016. The practitioner's primary taxonomy code is 363LF0000X with license number 20356 (SC). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1043663750
Provider Name
MS. KATHRYN RENEE MCZEKE FNP
Gender
Female
Entity Type
Individual
Location Address
920 DOUG WHITE DR STE 460 MYRTLE BEACH, SC 29572
Location Phone
(843) 449-2336
Location Fax
(843) 692-2174
Mailing Address
920 DOUG WHITE DR STE 460 MYRTLE BEACH, SC 29572
Mailing Phone
(843) 449-2336
Mailing Fax
(843) 692-2174
Is Sole Proprietor?
No
Enumeration Date
07-18-2016
Last Update Date
01-27-2022
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A nurse practitioner (NP) like Kathryn Mczeke 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 Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
20356
License State
SC

Insurance Plans Accepted

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

  • Blue Direction Bronze 1 - POS
  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Expanded Bronze - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • BlueEssentials Bronze 6 - EPO
  • BlueEssentials Gold 1 - EPO
  • BlueEssentials Gold 5 - EPO
  • BlueEssentials Silver 14 - EPO
  • BlueEssentials Silver 14 + Adult Vision - EPO
  • BlueEssentials Silver 40 - EPO
  • BlueEssentials Standard Expanded Bronze - EPO
  • BlueEssentials Standard Gold - EPO
  • BlueEssentials Standard Silver - EPO
  • First Choice Next Bronze Essential - HMO
  • First Choice Next Bronze Premier - HMO
  • First Choice Next Bronze Signature - HMO
  • First Choice Next Gold Premier - HMO
  • First Choice Next Gold Signature - HMO
  • First Choice Next Silver Essential - HMO
  • First Choice Next Silver Premier - HMO
  • First Choice Next Silver Signature - HMO

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

Medicare Participation & PECOS Enrollment Status

Kathryn Mczeke 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

  • 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

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Orthotic Devices

  • DME-Orthotic Devices (DF000N)

    Tracheostomy, inner cannula (HCPCS:A4623)

    1 DME suppliers used 11 Medicare Claims 332 Services Paid

  • DME-Orthotic Devices (DF000N)

    Tracheostomy care kit for established tracheostomy (HCPCS:A4629)

    1 DME suppliers used 11 Medicare Claims 330 Services Paid

  • DME-Orthotic Devices (DF000N)

    Tracheostomy tube collar/holder, each (HCPCS:A7526)

    1 DME suppliers used 11 Medicare Claims 44 Services Paid

Durable Medical Equipment

  • DME-Other DME (DE000N)

    Tracheal suction catheter, any type other than closed system, each (HCPCS:A4624)

    1 DME suppliers used 11 Medicare Claims 990 Services Paid

  • DME-Other DME (DE000N)

    Oropharyngeal suction catheter, each (HCPCS:A4628)

    1 DME suppliers used 11 Medicare Claims 132 Services Paid

  • DME-Other DME (DE000N)

    Canister, disposable, used with suction pump, each (HCPCS:A7000)

    1 DME suppliers used 12 Medicare Claims 48 Services Paid

  • DME-Other DME (DE000N)

    Tubing, used with suction pump, each (HCPCS:A7002)

    1 DME suppliers used 12 Medicare Claims 23 Services Paid

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 29572 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $83.18
  • Minimum New Patient Price $53.57
  • Maximum New Patient Price $163.84
  • Average New Patient Copayment $20.79
  • Minimum New Patient Copayment $13.39
  • Maximum New Patient Copayment $40.96

Established Patients Visit Costs *

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

  • Average Established Patient Price $95.12
  • Minimum Established Patient Price $16.96
  • Maximum Established Patient Price $133.52
  • Average Established Patient Copayment $23.78
  • Minimum Established Patient Copayment $4.24
  • Maximum Established Patient Copayment $33.38

* 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.

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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 1043663750, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
0
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 4 → 8 6 → 12 → 3 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 8 + 3 + 1 + 2 + 6 + 6 + 7 + 1 + 0 + 24 = 60

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

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1043663750.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Neurology)
920 DOUG WHITE DR STE 460
MYRTLE BEACH, SC 29572
Psychiatry & Neurology (Neurology)
920 DOUG WHITE DR STE 460
MYRTLE BEACH, SC 29572
Neurological Surgery
920 DOUG WHITE DR STE 460
MYRTLE BEACH, SC 29572
Physician Assistant
920 DOUG WHITE DR STE 460
MYRTLE BEACH, SC 29572
Physician Assistant
920 DOUG WHITE DR STE 460
MYRTLE BEACH, SC 29572
Neurological Surgery
920 DOUG WHITE DR STE 460
MYRTLE BEACH, SC 29572
Neurological Surgery
920 DOUG WHITE DR STE 460
MYRTLE BEACH, SC 29572
Nurse Practitioner
920 DOUG WHITE DR STE 460
MYRTLE BEACH, SC 29572
Nurse Practitioner (Acute Care)
920 DOUG WHITE DR STE 460
MYRTLE BEACH, SC 29572
Physician Assistant (Surgical)
920 DOUG WHITE DR STE 460
MYRTLE BEACH, SC 29572

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043663750, enumerated as an "individual" on July 18, 2016.

The provider is located at 920 DOUG WHITE DR STE 460 MYRTLE BEACH, SC 29572 and the phone number is (843) 449-2336.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina and First. Please consult your insurance carrier or call the provider to verify.