JORJA K MUELLER APNP NPI 1083183198

Nurse Practitioner (Family) in Milwaukee, WI

NPI 1083183198 Individual Female Nurse Practitioner Family PECOS Enrolled MIPS Quality Score 98.5

NPI Profile for JORJA K MUELLER APNP

Jorja Mueller is a provider established in Milwaukee, Wisconsin and her medical specialization is nurse practitioner (family) . The NPI number of Jorja Mueller is 1083183198 and was assigned on November 2018. The practitioner's primary taxonomy code is 363LF0000X with license number 8805 (WI). The provider is registered as an individual and her NPI record was last updated April 2022.

A nurse practitioner (NP) like Jorja K Mueller Apnp is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Jorja Mueller 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..

Jorja Mueller is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 98.5, 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.

NPI

1083183198

Provider Name JORJA K MUELLER APNP
Provider Location Address2900 W OKLAHOMA AVE MILWAUKEE, WI 53215
Provider Mailing Address2900 W OKLAHOMA AVE MILWAUKEE, WI 53215
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date11-19-2018
Last Update Date04-04-2022


Primary Taxonomy

Taxonomy Code363LF0000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily
License No.8805
License StateWI

Business Address

JORJA K MUELLER APNP
2900 W OKLAHOMA AVE
MILWAUKEE, WI
ZIP 53215
Phone: (414) 649-5725

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Mailing Address

JORJA K MUELLER APNP
2900 W OKLAHOMA AVE
MILWAUKEE, WI
ZIP 53215
Phone: (414) 649-5725



PECOS Enrollment and 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.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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% 100
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.
Promoting Interoperability (PI) 25% 84.7
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.
Improvement Activities 15% 40
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.
Cost 20% N/A
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.
MIPS Final Score - 98.5
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.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner8805WINo

Taxonomy Description: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

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
100083419MEDICAID (05)WI

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1083183198
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20163286118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 6 + 3 + 2 + 8 + 6 + 1 + 1 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1083183198 is valid because the calculated check digit 8 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.

NPI Name / Type Taxonomy Address
1134112873DR. SARAH CHRISTINE RAY PHARM.D., BCPS
Individual
Pharmacist (Pharmacotherapy)2900 W OKLAHOMA AVE OUTPATIENT PHARMACY
MILWAUKEE, WI 53215
(414) 219-5642
1598752719 MITCHELL HUGH LEAVITT M.D.
Individual
Emergency Medicine2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
(414) 649-6588
1114900933DR. BORIS G. ILCHENKO M.D.
Individual
Anesthesiology2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
(414) 649-6000
1285617746DR. KRISTI L KANITZ M.D.
Individual
Anesthesiology2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
(414) 649-6000
1902889488DR. T C KOH M.D.
Individual
Anesthesiology2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
(414) 649-6000
1598748089DR. VLADIMIR KOVACEVIC M.D.
Individual
Anesthesiology2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
(414) 649-6000
1790768331DR. DAVID H. FINGARD M.D.
Individual
Anesthesiology2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
(414) 649-6000
1871576413DR. THOMAS J GUHL M.D.
Individual
Anesthesiology2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
(414) 649-6000
1154305597DR. MARK MILSHTEYN M.D.
Individual
Anesthesiology2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
(414) 649-6000
1881678092DR. BERNARD RHOMBERG M.D.
Individual
Anesthesiology2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
(414) 649-6000
1417931411DR. JAMES R WARSH M.D.
Individual
Anesthesiology2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
(414) 649-6000
1417931429DR. TIMOTHY PRIEHS M.D.
Individual
Anesthesiology2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
(414) 649-6000
1861476418DR. RICHARD A SMITH M.D.
Individual
Anesthesiology2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
(414) 649-6000
1861478596DR. DENISE TRINKL M.D.
Individual
Anesthesiology2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
(414) 649-6000
1851378699DR. MARK D. ADAMS M.D.
Individual
Anesthesiology2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
(414) 649-6000
1861466757 RUSSELL S GONNERING M.D.
Individual
Ophthalmology2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
(262) 754-9921
1629044508 DEBORAH WHAM M.S.
Individual
Genetic Counselor, MS2900 W OKLAHOMA AVE CANCER SERVICES
MILWAUKEE, WI 53215
(414) 649-5786
1710940465HYPERBARIC AND WOUND CARE ASSOCIATES, SC
Organization
Emergency Medicine (Undersea and Hyperbaric Medicine)2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
(414) 385-8723
1396703534 ANDREW W CALVERT MD
Individual
Emergency Medicine2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
(414) 649-6588
1093773244 MICHELLE D HIEBERT MD
Individual
Emergency Medicine2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
(414) 649-7299

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
Jorja K Mueller Apnp is registered as an entity type code: 1. The entity type code describes 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.