KATHRYN M SHAFFER
NPI 1073243085
Counselor - Professional in Bentonville, AR

NPI Status: Active since June 13, 2022

Contact Information

2508 SE 20TH ST
BENTONVILLE, AR
ZIP 72712
Phone: (479) 273-9088

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  • Individual
  • Female
  • Years of Experience 4
  • Counselor
  • Professional
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KATHRYN SHAFFER

This page provides the complete NPI Profile along with additional information for Kathryn Shaffer, a provider established in Bentonville, Arkansas with a medical specialization in Counselor, focusing in professional and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1073243085 assigned on June 2022. The practitioner's primary taxonomy code is 101YP2500X with license number P2409007 (AR). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1073243085
Provider Name
KATHRYN M SHAFFER
Gender
Female
Entity Type
Individual
Location Address
2508 SE 20TH ST BENTONVILLE, AR 72712
Location Phone
(479) 273-9088
Mailing Address
2400 S 48TH ST SPRINGDALE, AR 72762
Mailing Phone
(479) 750-2020
Medical School Name
OTHER
Graduation Year
2022
Is Sole Proprietor?
No
Enumeration Date
06-13-2022
Last Update Date
09-23-2024
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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

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
P2409007
License State
AR

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

A2208014 (AR)
2171M00000XOther Service Providers

Case Manager/Care Coordinator

 

Insurance Plans Accepted

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

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO

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

Medicare Participation & PECOS Enrollment Status

Kathryn Shaffer 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.

Kathryn Shaffer 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: 1052842705

    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: I20241004001521

    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

Reviews for KATHRYN M SHAFFER

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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.
1073243085
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20143446016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 4 + 4 + 6 + 0 + 1 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1073243085 is valid because the calculated check digit 5 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.

EVELYN ANN WEIGEL LPE

Counselor

(Mental Health)

2508 SE 20TH ST
BENTONVILLE, AR
ZIP 72712

(479) 750-2020

NICOLE ALISON GRAFF LMSW

Social Worker

2508 SE 20TH ST
BENTONVILLE, AR
ZIP 72712

(479) 750-2020

SHARA KATISHIE MAYES MHPP

Genetic Counselor, MS

2508 SE 20TH ST
BENTONVILLE, AR
ZIP 72712

(479) 750-2020

AMANDA MORGAN WEAVER LAC

Counselor

(Mental Health)

2508 SE 20TH ST
BENTONVILLE, AR
ZIP 72712

(479) 750-2020

MARY PAIGE STEPHENS LCSW

Social Worker

(Clinical)

2508 SE 20TH ST
BENTONVILLE, AR
ZIP 72712

(479) 750-2020

TIFFANY LYNN MCCULLOUGH L.C.S.W

Social Worker

(Clinical)

2508 SE 20TH ST
BENTONVILLE, AR
ZIP 72712

(479) 273-9088

PATTY HORNER B.S. MHPP

Case Manager/Care Coordinator

2508 SE 20TH ST
BENTONVILLE, AR
ZIP 72712

(479) 273-9088

DEBRA L JOHNSON LPN

Licensed Practical Nurse

2508 SE 20TH ST
BENTONVILLE, AR
ZIP 72712

(479) 750-2020

HELENA GARCIA MHPP

Counselor

(Mental Health)

2508 SE 20TH ST
BENTONVILLE, AR
ZIP 72712

(479) 725-5224

AUDREY ANN ADAMS LCSW

Social Worker

(Clinical)

2508 SE 20TH ST
BENTONVILLE, AR
ZIP 72712

(479) 750-2020

ALLYSON SMOLINSKI LMSW

Social Worker

2508 SE 20TH ST
BENTONVILLE, AR
ZIP 72712

(479) 273-9088

CASEY LEWALLEN RN

Registered Nurse

2508 SE 20TH ST
BENTONVILLE, AR
ZIP 72712

(479) 273-9088

RACHEL E HARROD LPC

Counselor

(Professional)

2508 SE 20TH ST
BENTONVILLE, AR
ZIP 72712

(479) 273-9088

LEINA NAKAMURA NGUYEN LCSW

Social Worker

(Clinical)

2508 SE 20TH ST
BENTONVILLE, AR
ZIP 72712

(479) 273-9088

SHARON A ODOM LCSW

Social Worker

(Clinical)

2508 SE 20TH ST
BENTONVILLE, AR
ZIP 72712

(479) 273-9088

BILL B ROGERS LPN

Licensed Practical Nurse

2508 SE 20TH ST
BENTONVILLE, AR
ZIP 72712

(479) 273-9088

JULIUS WALT

Counselor

(Mental Health)

2508 SE 20TH ST
BENTONVILLE, AR
ZIP 72712

(479) 750-2020

ESTER AREJOLA SALVADOR MD

Psychiatry & Neurology

(Psychiatry)

2508 SE 20TH ST
BENTONVILLE, AR
ZIP 72712

(479) 750-2020

MICHAEL DONALD MOWREY LPC

Counselor

(Professional)

2508 SE 20TH ST
BENTONVILLE, AR
ZIP 72712

(479) 750-2020

SHERYLL ANN HARBAUGH LCSW

Social Worker

(Clinical)

2508 SE 20TH ST
BENTONVILLE, AR
ZIP 72712

(479) 273-9088

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073243085, enumerated as an "individual" on June 13, 2022.

The provider is located at 2508 SE 20TH ST BENTONVILLE, AR 72712 and the phone number is (479) 273-9088.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.