KELLY ANN WIESE
NPI 1053929638
Occupational Therapist - Gerontology in Sterling Heights, MI
NPI Status: Active since July 20, 2020
Contact Information
41155 POND VIEW DR
STERLING HEIGHTS, MI
ZIP 48314
Phone: (586) 571-9626
- Individual
- Female
- Years of Experience 3
- Occupational Therapist
- Gerontology
- Accepts Medicare Approved Payment
About KELLY WIESE
This page provides the complete NPI Profile along with additional information for Kelly Wiese, a provider established in Sterling Heights, Michigan with a medical specialization in Occupational Therapist, focusing in gerontology and more than 3 years of experience. The healthcare provider is registered in the NPI registry with number 1053929638 assigned on July 2020. The practitioner's primary taxonomy code is 225XG0600X. The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1053929638
- Provider Name
- KELLY ANN WIESE
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 41155 POND VIEW DR STERLING HEIGHTS, MI 48314
- Location Phone
- (586) 571-9626
- Mailing Address
- 32100 TELEGRAPH RD STE 205 BINGHAM FARMS, MI 48025
- Medical School Name
- OTHER
- Graduation Year
- 2023
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-20-2020
- Last Update Date
- 10-06-2024
- Code Navigator
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
Occupational Therapist Gerontology
- Taxonomy Code
- 225XG0600X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy Description
- Occupational therapists work with older adults in virtually every setting: assisted living, wellness programs, hospitals, nursing homes, senior centers, clinics and in the home. Occupational therapists bring an understanding of the importance of participation and occupation for overall well-being to those who are experiencing disabling conditions related to aging. The primary overarching goal of occupational therapy services with this population is to maximize independence and participation, thereby enabling an older person to continue to live successfully in his or her chosen environment. Occupational therapists can help older adults by developing strategies to help or maintain safety and well-being, to assist with life transitions, and to compensate for challenges they experience in activities of daily living, instrumental activities of daily living, leisure participation, social participation, and productive activities.
Medicare Participation & PECOS Enrollment Status
Kelly Wiese 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.
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.
PECOS PAC ID: 1658815766
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: I20240701001049
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.
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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 1053929638, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
STERLING HEIGHTS, MI 48314
STERLING HEIGHTS, MI 48314
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053929638, enumerated as an "individual" on July 20, 2020.
The provider is located at 41155 POND VIEW DR STERLING HEIGHTS, MI 48314 and the phone number is (586) 571-9626.
Occupational Therapist with taxonomy code 225XG0600X and a focus in Gerontology.
