JENA NICHOLE MAHONEY
NPI 1093318792
Nurse Practitioner - Family in Le Mars, IA

NPI Status: Active since November 17, 2020

Contact Information

714 LINCOLN ST NE
LE MARS, IA
ZIP 51031
Phone: (712) 546-3398
Fax: (712) 546-3352

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  • Individual
  • Female
  • Years of Experience 4
  • Nurse Practitioner
  • Family
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About JENA MAHONEY

Jena Mahoney is a provider established in Le Mars, Iowa and her medical specialization is Nurse Practitioner with a focus in family with more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1093318792 assigned on November 2020. The practitioner's primary taxonomy code is 363LF0000X with license number A161408 (IA). The provider is registered as an individual and her NPI record was last updated January 2024.

NPI
1093318792
Provider Name
JENA NICHOLE MAHONEY
Gender
Female
Entity Type
Individual
Location Address
714 LINCOLN ST NE LE MARS, IA 51031
Location Phone
(712) 546-3398
Location Fax
(712) 546-3352
Mailing Address
PO BOX 285 MERIDEN, IA 51037
Mailing Phone
(605) 670-9417
Medical School Name
OTHER
Graduation Year
2020
Is Sole Proprietor?
No
Enumeration Date
11-17-2020
Last Update Date
01-10-2024
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A nurse practitioner (NP) like Jena Mahoney 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.

Jena Mahoney 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.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.16 for a new patient copayment and $24.57 for an established patient copayment.

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

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
A161408
License State
IA

Insurance Plans Accepted

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

  • Avera Health Plans

    • Avera $1800 Medical Deductible with $0 Rx Deductible - PPO
    • Avera $2000 Medical Deductible with $0 Rx Deductible - PPO
    • Avera $4000 Medical Deductible with $0 Rx Deductible - PPO
    • Avera $5200 HSA Eigible HDHP - PPO
    • Avera $5200 HSA Eligilble HDHP - PPO
    • Avera $5800 - PPO
    • Avera $6800 Medical Deductible with $50 Rx Deductible - PPO
    • Avera $7500 HSA Eigible HDHP - PPO
    • Avera $7500 HSA Eligible HDHP - PPO
    • Avera $9450 - PPO
  • Blue Cross and Blue Shield of Nebraska

    • HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
  • Medica

    • Medica Insure Bronze Copay - EPO
    • Medica Insure Bronze Copay $0 PCP - EPO
    • Medica Insure Bronze Copay $0 PCP Office Visits - EPO
    • Medica Insure Bronze Premier - EPO
    • Medica Insure Bronze Share Plus - EPO
    • Medica Insure Bronze Standard - EPO
    • Medica Insure Expanded Bronze Standard - EPO
    • Medica Insure Gold Copay $0 PCP - EPO
    • Medica Insure Gold Copay $0 PCP Office Visits - EPO
    • Medica Insure Gold Share - EPO
  • Oscar Insurance Company

    • Bronze Classic - EPO
    • Bronze Classic 4700 - EPO
    • Bronze Classic PCP Saver - EPO
    • Bronze Classic Standard - EPO
    • Bronze Elite + PCP Saver Plus - EPO
    • Gold Classic Standard - EPO
    • Gold Elite - EPO
    • Secure - EPO
    • Silver Classic - EPO
    • Silver Classic Standard - EPO
  • Medicare

  • Medicaid


*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
A161408OTHER (01)IAIOWA BOARD OF NURSING

PECOS Enrollment and Medicare Participation Status

Jena Mahoney 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

  • PECOS PAC ID: 8426463258

    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: I20231209000116

    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): 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 51031 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.67
  • Minimum New Patient Price $54.88
  • Maximum New Patient Price $167.71
  • Average New Patient Copayment $21.16
  • Minimum New Patient Copayment $13.72
  • Maximum New Patient Copayment $41.92

Established Patients Visit Costs *

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

  • Average Established Patient Price $98.29
  • Minimum Established Patient Price $17.04
  • Maximum Established Patient Price $137.36
  • Average Established Patient Copayment $24.57
  • Minimum Established Patient Copayment $4.26
  • Maximum Established Patient Copayment $34.34

* 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.

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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. Jena Mahoney is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
FLOYD VALLEY HEALTHCARE714 LINCOLN ST NE
LE MARS, IA 51031
(712) 546-7871Critical Access Hospitals

Reviews for JENA NICHOLE MAHONEY

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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.
1093318792
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201836116718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 6 + 1 + 1 + 6 + 7 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1093318792 is valid because the calculated check digit 2 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
1700886314 MARK EUGENE STELZER M.D.
Individual
Surgery714 LINCOLN ST NE
LE MARS, IA 51031
(712) 546-7871
1457412314DR. SHAHID I NAQVI M.D.
Individual
Surgery714 LINCOLN ST NE
LE MARS, IA 51031
(712) 546-3398
1770644627DR. JAY T STRITTHOLT M.D.
Individual
Orthopaedic Surgery714 LINCOLN ST NE
LE MARS, IA 51031
(712) 546-3398
1417018276MR. GARY M TILLMAN C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered714 LINCOLN ST NE
LE MARS, IA 51031
(712) 546-3398
1184786691MRS. CONNIE D HANSON SP
Individual
Speech-Language Pathologist714 LINCOLN ST NE
LE MARS, IA 51031
(712) 546-3398
1578625653FLOYD VALLEY HOSPITAL
Organization
Emergency Medicine714 LINCOLN ST NE
LE MARS, IA 51031
(712) 546-3398
1922160019FLOYD VALLEY HOSPITAL
Organization
Radiology (Diagnostic Radiology)714 LINCOLN ST NE
LE MARS, IA 51031
(712) 546-3398
1558423640FLOYD VALLEY HOSPITAL
Organization
Internal Medicine (Cardiovascular Disease)714 LINCOLN ST NE
LE MARS, IA 51031
(712) 546-3398
1467790352MRS. KELLY BETH MUETING SLP
Individual
Speech-Language Pathologist714 LINCOLN ST NE
LE MARS, IA 51031
(712) 546-3381
1861462681 STEVEN J. SAULSBURY MD
Individual
Radiology (Diagnostic Radiology)714 LINCOLN ST NE
LE MARS, IA 51031
(712) 546-3398
1447484472FLOYD VALLEY HOSPITAL
Organization
Family Medicine714 LINCOLN ST NE
LE MARS, IA 51031
(712) 546-3398
1174519193 KAY LYNN KOSTERS PA-C
Individual
Physician Assistant (Medical)714 LINCOLN ST NE
LE MARS, IA 51031
(712) 546-3650
1124014097DR. STEVEN JOSEPH MEIS M.D.
Individual
Family Medicine714 LINCOLN ST NE
LE MARS, IA 51031
(712) 546-3660
1043206089DR. SHEILA RAE HOLCOMB M.D.
Individual
Family Medicine714 LINCOLN ST NE
LE MARS, IA 51031
(712) 546-3630
1851387815MRS. CHERYL ANN CRONIN PA-C
Individual
Physician Assistant (Medical)714 LINCOLN ST NE
LE MARS, IA 51031
(712) 546-3625
1427379627 ANDREW J GEHA D.O.
Individual
Family Medicine714 LINCOLN ST NE
LE MARS, IA 51031
(712) 546-3680
1801150396 DONALD E ODENS M.D.
Individual
Family Medicine714 LINCOLN ST NE
LE MARS, IA 51031
(712) 546-3685
1023013703MRS. GERI L SCHROEDER ARNP
Individual
Nurse Practitioner714 LINCOLN ST NE
LE MARS, IA 51031
(712) 546-3398
1265811038 ASHLEY POWELL D.O.
Individual
Family Medicine714 LINCOLN ST NE
LE MARS, IA 51031
(712) 546-3620
1386607737 CYNTHIA K. WOLFF M.D.
Individual
Family Medicine714 LINCOLN ST NE
LE MARS, IA 51031
(712) 546-3665

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093318792, enumerated in the NPI registry as an "individual" on November 17, 2020

The provider is located at 714 Lincoln St Ne Le Mars, Ia 51031 and the phone number is (712) 546-3398

The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider has more than 4 years of experience.

The provider might be accepting Accepts: Avera Health Plans, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 10, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.

Medicare beneficiaries should expect a typical cost of $84.67 with an average copayment of $21.16 for new patient appointments. Established patients should expect a typical charge of $98.29 and an average copayment of 24.57. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): FLOYD VALLEY HEALTHCARE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on November 17, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.