STEPHANIE NOEL EGGERT
NPI 1053741702
Clinical Nurse Specialist - Psychiatric/Mental Health, Child & Adolescent in Cincinnati, OH

NPI Status: Active since November 16, 2013

Contact Information

5642 HAMILTON AVE
CINCINNATI, OH
ZIP 45224
Phone: (513) 636-9900
Fax: (513) 803-0823

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  • Individual
  • Female
  • Clinical Nurse Specialist
  • Psychiatric/Mental Health, Child & Adole...
  • Accepts Insurance
  • PECOS Enrolled

About STEPHANIE EGGERT

This page provides the complete NPI Profile along with additional information for Stephanie Eggert, a provider established in Cincinnati, Ohio with a medical specialization in Clinical Nurse Specialist, focusing in psychiatric/mental health, child & adolescent . The healthcare provider is registered in the NPI registry with number 1053741702 assigned on November 2013. The practitioner's primary taxonomy code is 364SP0807X with license number RN.291517-COA1 (OH). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1053741702
Provider Name
STEPHANIE NOEL EGGERT
Gender
Female
Entity Type
Individual
Location Address
5642 HAMILTON AVE CINCINNATI, OH 45224
Location Phone
(513) 636-9900
Location Fax
(513) 803-0823
Mailing Address
3333 BURNET AVE ML 6015 CINCINNATI, OH 45229
Mailing Phone
(513) 636-9900
Mailing Fax
(513) 803-0823
Is Sole Proprietor?
No
Enumeration Date
11-16-2013
Last Update Date
03-07-2023
Code Navigator

A Clinical Nurse Specialist (CNS) like Stephanie Eggert is a type of advanced practice registered nurse (APRN) that provides direct patient care in various nursing specialties, including pediatrics or psychiatric-mental health. CNSs collaborate with other nurses and medical professionals to improve patient care quality. CNSs are often positioned in leadership roles where they may provide education and mentorship to other nursing personnel. Additionally, CNSs may also conduct research and advocate for certain healthcare policies.

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

Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent

Taxonomy Code
364SP0807X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
RN.291517-COA1
License State
OH

Insurance Plans Accepted

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

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Silver 6000 $20 Generic Drugs - HMO
  • Bronze $8,300 w/ Adult Dental ON-EX - HMO
  • Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
  • Bronze HSA $7,300 ON-EX - HMO
  • Bronze Standard w/ Virtual & Wellness - HMO
  • Gold $1,000 w/ Adult Dental ON-EX - HMO
  • Gold $1,000 w/ Virtual & Wellness ON-EX - HMO
  • Gold $500 w/ Virtual & Wellness ON-EX - HMO
  • Gold Standard w/ Virtual & Wellness - HMO
  • Silver $5,000 w/ Adult Dental ON-EX - HMO
  • Silver $5,000 w/ Virtual & Wellness ON-EX - HMO
  • Silver $5,800 w/ Virtual & Wellness ON-EX - HMO
  • Silver Standard w/ Virtual & Wellness - HMO

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
2013017823OTHER (01)ANCC

Medicare Participation & PECOS Enrollment Status

Stephanie Eggert 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

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 45224 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $126.12
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.65
  • Average New Patient Copayment $31.53
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.66

Established Patients Visit Costs *

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

  • Average Established Patient Price $96.44
  • Minimum Established Patient Price $17.1
  • Maximum Established Patient Price $135.4
  • Average Established Patient Copayment $24.11
  • Minimum Established Patient Copayment $4.27
  • Maximum Established Patient Copayment $33.85

* 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 STEPHANIE NOEL EGGERT

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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 1053741702, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

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
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
1
Doubled → 2
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
2
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 5 → 10 → 1 7 → 14 → 5 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 0 + 3 + 1 + 4 + 4 + 2 + 7 + 0 + 24 = 48

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

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1053741702.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Social Worker (Clinical)
5642 HAMILTON AVE
CINCINNATI, OH 45224
Social Worker (Clinical)
5642 HAMILTON AVE
CINCINNATI, OH 45224
Social Worker (Clinical)
5642 HAMILTON AVE
CINCINNATI, OH 45224
Community/Behavioral Health
5642 HAMILTON AVE
CINCINNATI, OH 45224
Nurse Practitioner
5642 HAMILTON AVE
CINCINNATI, OH 45224
Nurse Practitioner
5642 HAMILTON AVE
CINCINNATI, OH 45224
Occupational Therapist (Mental Health)
5642 HAMILTON AVE
CINCINNATI, OH 45224
Pharmacy (Clinic Pharmacy)
5642 HAMILTON AVE
CINCINNATI, OH 45224
Behavior Analyst
5642 HAMILTON AVE
CINCINNATI, OH 45224
Speech-Language Pathologist
5642 HAMILTON AVE
CINCINNATI, OH 45224
Psychiatric Residential Treatment Facility
5642 HAMILTON AVE
CINCINNATI, OH 45224
Nurse Practitioner
5642 HAMILTON AVE
CINCINNATI, OH 45224
Nurse Practitioner
5642 HAMILTON AVE
CINCINNATI, OH 45224

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053741702, enumerated as an "individual" on November 16, 2013.

The provider is located at 5642 HAMILTON AVE CINCINNATI, OH 45224 and the phone number is (513) 636-9900.

Clinical Nurse Specialist with taxonomy code 364SP0807X and a focus in Psychiatric/Mental Health, Child & Adolescent.

The provider might be accepting Accepts: CareSource, MedMutual, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.