MS. EMILY RUMSEY CNM
NPI 1043670144
Advanced Practice Midwife in Saint Paul, MN

NPI Status: Active since March 02, 2016

Contact Information

895 7TH ST E
SAINT PAUL, MN
ZIP 55106
Phone: (651) 602-7500

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  • Individual
  • Female
  • Years of Experience 11
  • Advanced Practice Midwife
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About EMILY RUMSEY

This page provides the complete NPI Profile along with additional information for Emily Rumsey, a provider established in Saint Paul, Minnesota with a medical specialization in Advanced Practice Midwife and more than 11 years of experience. She graduated from Georgetown University School Of Medicine in 2015. The healthcare provider is registered in the NPI registry with number 1043670144 assigned on March 2016. The practitioner's primary taxonomy code is 367A00000X with license number CNM0296 (MN). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1043670144
Provider Name
MS. EMILY RUMSEY CNM
Gender
Female
Entity Type
Individual
Location Address
895 7TH ST E SAINT PAUL, MN 55106
Location Phone
(651) 602-7500
Mailing Address
895 7TH ST E SAINT PAUL, MN 55106
Mailing Phone
(651) 263-2644
Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2015
Is Sole Proprietor?
No
Enumeration Date
03-02-2016
Last Update Date
03-02-2016
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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

Advanced Practice Midwife

Taxonomy Code
367A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
CNM0296
License State
MN
Taxonomy Description
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

Insurance Plans Accepted

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

  • Atlas $1,000 Gold - PPO
  • Atlas $1,500 Standard Gold - PPO
  • Atlas $2,650 Plus Silver - PPO
  • Atlas $3,500 HSA Silver - PPO
  • Atlas $5,000 Standard Silver - PPO
  • Atlas $6,500 Plus Bronze - PPO
  • Atlas $7,500 Standard Bronze - PPO
  • Atlas $8,200 HSA Bronze - PPO
  • Atlas $9,200 Catastrophic - PPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO

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

Medicare Participation & PECOS Enrollment Status

Emily Rumsey is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Emily Rumsey 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 and Durable Medical Equipment (DME).

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

  • PECOS PAC ID: 3375822422

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20161114002139

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • 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 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): No

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.45 for a new patient copayment and $17.43 for an established patient copayment.

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 55106 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $85.82
  • Minimum New Patient Price $56
  • Maximum New Patient Price $168.28
  • Average New Patient Copayment $21.45
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.07

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.74
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $138.04
  • Average Established Patient Copayment $17.43
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $34.51

* 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.

Reviews for MS. EMILY RUMSEY CNM

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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.
1043670144
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2083127018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 1 + 2 + 7 + 0 + 1 + 8 + 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 1043670144 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 20 providers are registered at the same or nearby location.

DR. AMBER JEAN WALKER DDS

Dentist

895 7TH ST E
SAINT PAUL, MN
ZIP 55106

(651) 602-7500

MRS. DESSARAE NICOLE SMITH R.D.N., L.D.

Dietitian, Registered

895 7TH ST E
SAINT PAUL, MN
ZIP 55106

(651) 793-2231

WEST SIDE COMMUNITY HEALTH SERVICES INC

Pharmacy

(Clinic Pharmacy)

895 7TH ST E
SAINT PAUL, MN
ZIP 55106

(651) 793-2250

KAUCHEE VANG

Pharmacist

895 7TH ST E
SAINT PAUL, MN
ZIP 55106

(651) 793-2250

BRADLEY JAMES MCDONNELL DDS

Dentist

895 7TH ST E
SAINT PAUL, MN
ZIP 55106

(651) 772-9757

ANDREA L JORDAN A.D.T.

Dental Therapist

895 7TH ST E
SAINT PAUL, MN
ZIP 55106

(651) 602-7500

CAITLIN YVONNE STRAND PHARMD

Pharmacist

895 7TH ST E
SAINT PAUL, MN
ZIP 55106

(651) 793-2250

LYNN RUTH ANDERSON

Dental Hygienist

895 7TH ST E
SAINT PAUL, MN
ZIP 55106

(651) 602-7500

MRS. TRACY ANN SCHRANTZ RDH

Dental Hygienist

895 7TH ST E
SAINT PAUL, MN
ZIP 55106

(651) 602-7500

SUSAN L SANCHES RDH

Dental Hygienist

895 7TH ST E
SAINT PAUL, MN
ZIP 55106

(651) 602-7500

MS. LOIS ANN BERNDT DENTAL HYGIENIST

Dental Hygienist

895 7TH ST E
SAINT PAUL, MN
ZIP 55106

(651) 793-2216

QUEST DIAGNOSTICS LLC IL

Clinical Medical Laboratory

895 7TH ST E
SAINT PAUL, MN
ZIP 55106

(866) 697-8378

EMILY KAYE REIBERT

Dental Therapist

895 7TH ST E
SAINT PAUL, MN
ZIP 55106

(651) 602-7500

RADHIKA RAMESH PATEL PHARM.D.

Pharmacist

895 7TH ST E
SAINT PAUL, MN
ZIP 55106

(651) 602-7500

MAKOTO HANG PHARMD

Pharmacist

(Ambulatory Care)

895 7TH ST E
SAINT PAUL, MN
ZIP 55106

(651) 793-2250

TRUC THANH PHAM RDH, DT

Dental Therapist

895 7TH ST E
SAINT PAUL, MN
ZIP 55106

(651) 602-7500

MRS. KINDRA D MCGEE CHW

Community Health Worker

895 7TH ST E
SAINT PAUL, MN
ZIP 55106

(651) 389-2567

ASIA NUR DDS

Dentist

895 7TH ST E
SAINT PAUL, MN
ZIP 55106

(651) 602-7500

MRS. MAIYIA LOR YANG NP-C

Nurse Practitioner

(Family)

895 7TH ST E
SAINT PAUL, MN
ZIP 55106

(651) 602-7500

TOUA CHANG

Pharmacist

895 7TH ST E
SAINT PAUL, MN
ZIP 55106

(651) 602-7500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043670144, enumerated as an "individual" on March 02, 2016.

The provider is located at 895 7TH ST E SAINT PAUL, MN 55106 and the phone number is (651) 602-7500.

Advanced Practice Midwife with taxonomy code 367A00000X.

The provider might be accepting Accepts: HealthPartners and Medica. Please consult your insurance carrier or call the provider to verify.