MRS. MARGARET LUCHINI NICHOLAS CRNA NPI 1053391045
Nurse Anesthetist, Certified Registered in Birmingham, AL
About MARGARET NICHOLAS
Margaret Nicholas is a provider established in Birmingham, Alabama and her medical specialization is nurse anesthetist, certified registered with more than 33 years of experience. She graduated from University Of Alabama School Of Medicine in 1989. The NPI number of Margaret Nicholas is 1053391045 and was assigned on January 2006. The practitioner's primary taxonomy code is 367500000X with license number 1054017 (AL). The provider is registered as an individual and her NPI record was last updated 15 years ago. Margaret Nicholas 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 provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 58.2, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: participation in an ahrq-listed patient safety organization., provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record, use of qcdr data for quality improvement such as comparative analysis reports across patient populations, use of qcdr for feedback reports that incorporate population health and use of qcdr to support clinical decision making.
| NPI | 1053391045 |
| Provider Name | MRS. MARGARET LUCHINI NICHOLAS CRNA |
| Provider Location Address | 701 PRINCETON AVE SW BIRMINGHAM, AL 35211 |
| Provider Mailing Address | PO BOX 235022 MONTGOMERY, AL 36123 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | N/A |
| Enumeration Date | 01-18-2006 |
| Last Update Date | 07-08-2007 |
Primary Taxonomy
| Taxonomy Code | 367500000X |
| Classification | Nurse Anesthetist, Certified Registered |
| Type | Physician Assistants & Advanced Practice Nursing Providers |
| License No. | 1054017 |
| License State | AL |
| 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. |
Business Address
MRS. MARGARET LUCHINI NICHOLAS CRNA
701 PRINCETON AVE SW
BIRMINGHAM, AL
ZIP 35211
Phone: (205) 783-3144
Fax: (205) 783-3195
Mailing Address
MRS. MARGARET LUCHINI NICHOLAS CRNA
PO BOX 235022
MONTGOMERY, AL
ZIP 36123
Phone: (334) 386-2051
Fax: (334) 396-6929
Medicare Participation
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.
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 55 | |
|
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | N/A | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 20 | |
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The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | 65.3 | |
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The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 58.2 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Participation in an AHRQ-listed patient safety organization. | Yes | N/A |
| Participation in an AHRQ-listed patient safety organization. | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| - Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following:- Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care);- Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/orProvision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Use of QCDR data for quality improvement such as comparative analysis reports across patient populations | Yes | N/A |
| Participation in a QCDR, clinical data registries, or other registries run by other government agencies such as FDA, or private entities such as a hospital or medical or surgical society. Activity must include use of QCDR data for quality improvement (e.g., comparative analysis across specific patient populations for adverse outcomes after an outpatient surgical procedure and corrective steps to address adverse outcome). | ||
| Use of QCDR for feedback reports that incorporate population health | Yes | N/A |
| Use of a QCDR to generate regular feedback reports that summarize local practice patterns and treatment outcomes, including for vulnerable populations. | ||
| Use of QCDR to support clinical decision making | Yes | N/A |
| Participation in a QCDR, demonstrating performance of activities that promote implementation of shared clinical decision making capabilities. | ||
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.
- 60Anesthesia for procedure on gastrointestinal tract using an endoscope (HCPCS:00740)
- 35Anesthesia for procedure on lower intestine using an endoscope (HCPCS:00810)
- 13Anesthesia for lens surgery (HCPCS:00142)
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. Margaret Nicholas is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| PRINCETON BAPTIST MEDICAL CENTER | 701 PRINCETON AVENUE SOUTHWEST BIRMINGHAM, AL 35211 | (205) 783-3800 | Acute Care Hospitals | 10103 |
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 |
|---|---|---|
| S06640 | MEDICARE UPIN (02) |
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1659376846 | ALTON W BAKER MD Individual | Specialist | 701 PRINCETON AVE SW BIRMINGHAM, AL 35211 (205) 783-3000 |
| 1265412241 | MRS. JENNIFER ANNE WARREN CRNA Individual | Nurse Anesthetist, Certified Registered | 701 PRINCETON AVE SW BIRMINGHAM, AL 35211 (205) 783-3144 |
| 1154301158 | DR. TIMOTHY WAYNE AIKEN MD Individual | Anesthesiology | 701 PRINCETON AVE SW BIRMINGHAM, AL 35211 (205) 783-3144 |
| 1669452587 | MRS. MARCIA DELOIS BOSWELL CRNA Individual | Nurse Anesthetist, Certified Registered | 701 PRINCETON AVE SW BIRMINGHAM, AL 35211 (205) 783-3144 |
| 1932189917 | MR. JEFFREY CLAYTON HUDSON CRNA Individual | Nurse Anesthetist, Certified Registered | 701 PRINCETON AVE SW BIRMINGHAM, AL 35211 (205) 783-3144 |
| 1366422354 | MR. ROBERT W MEDICI CRNA Individual | Nurse Anesthetist, Certified Registered | 701 PRINCETON AVE SW BIRMINGHAM, AL 35211 (205) 783-3144 |
| 1558341552 | MR. CHRISTOPHER JOSEPH DRAMER CRNA Individual | Nurse Anesthetist, Certified Registered | 701 PRINCETON AVE SW BIRMINGHAM, AL 35211 (205) 783-3144 |
| 1548240542 | MS. GAIL A LOWERY CRNA Individual | Nurse Anesthetist, Certified Registered | 701 PRINCETON AVE SW BIRMINGHAM, AL 35211 (205) 783-3144 |
| 1366422362 | GINGER GREEN OSBORNE CRNA Individual | Nurse Anesthetist, Certified Registered | 701 PRINCETON AVE SW BIRMINGHAM, AL 35211 (205) 783-3144 |
| 1538149539 | MRS. SANDRA ELIZABETH LANE CRNA Individual | Nurse Anesthetist, Certified Registered | 701 PRINCETON AVE SW BIRMINGHAM, AL 35211 (205) 783-3144 |
| 1730169129 | DR. JAMES R TOMLINSON MD Individual | Anesthesiology | 701 PRINCETON AVE SW BIRMINGHAM, AL 35211 (205) 783-3144 |
| 1255311643 | DR. RICHARD J LEWIS MD Individual | Anesthesiology | 701 PRINCETON AVE SW BIRMINGHAM, AL 35211 (205) 783-3144 |
| 1871566422 | CECILLE M HAMMER CRNA Individual | Nurse Anesthetist, Certified Registered | 701 PRINCETON AVE SW BIRMINGHAM, AL 35211 (334) 386-2051 |
| 1538124425 | BRUCE ERIC BURNS M.D. Individual | Emergency Medicine | 701 PRINCETON AVE SW BIRMINGHAM, AL 35211 (205) 783-3500 |
| 1538194535 | DR. JORDAN LLOYD TURNER DO Individual | Emergency Medicine | 701 PRINCETON AVE SW BIRMINGHAM, AL 35211 (205) 783-3500 |
| 1548351604 | VONDA LEE MORROW ARD C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 701 PRINCETON AVE SW BIRMINGHAM, AL 35211 (205) 783-3144 |
| 1972685246 | KURTIS A. TETER C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 701 PRINCETON AVE SW BIRMINGHAM, AL 35211 (205) 783-3144 |
| 1346311891 | DR. DUDLEY E. SCOTT DAY M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 701 PRINCETON AVE SW BIRMINGHAM, AL 35211 (205) 783-3240 |
| 1780755249 | PAUL JOSEPH BIGGS M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 701 PRINCETON AVE SW BIRMINGHAM, AL 35211 (205) 783-3441 |
| 1336216951 | CHRISTOPHER N HILLMAN M.D. Individual | Anesthesiology | 701 PRINCETON AVE SW BIRMINGHAM, AL 35211 (334) 783-3144 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
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.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.