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
- 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
- Code Navigator
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 |
---|---|---|---|
A161408 | OTHER (01) | IA | IOWA 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 HEALTHCARE | 714 LINCOLN ST NE LE MARS, IA 51031 | (712) 546-7871 | Critical Access Hospitals |
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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. | |||||||||
1 | 0 | 9 | 3 | 3 | 1 | 8 | 7 | 9 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 18 | 3 | 6 | 1 | 16 | 7 | 18 | |
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 = 2 | 2 |
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 | Surgery | 714 LINCOLN ST NE LE MARS, IA 51031 (712) 546-7871 |
1457412314 | DR. SHAHID I NAQVI M.D. Individual | Surgery | 714 LINCOLN ST NE LE MARS, IA 51031 (712) 546-3398 |
1770644627 | DR. JAY T STRITTHOLT M.D. Individual | Orthopaedic Surgery | 714 LINCOLN ST NE LE MARS, IA 51031 (712) 546-3398 |
1417018276 | MR. GARY M TILLMAN C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 714 LINCOLN ST NE LE MARS, IA 51031 (712) 546-3398 |
1184786691 | MRS. CONNIE D HANSON SP Individual | Speech-Language Pathologist | 714 LINCOLN ST NE LE MARS, IA 51031 (712) 546-3398 |
1578625653 | FLOYD VALLEY HOSPITAL Organization | Emergency Medicine | 714 LINCOLN ST NE LE MARS, IA 51031 (712) 546-3398 |
1922160019 | FLOYD VALLEY HOSPITAL Organization | Radiology (Diagnostic Radiology) | 714 LINCOLN ST NE LE MARS, IA 51031 (712) 546-3398 |
1558423640 | FLOYD VALLEY HOSPITAL Organization | Internal Medicine (Cardiovascular Disease) | 714 LINCOLN ST NE LE MARS, IA 51031 (712) 546-3398 |
1467790352 | MRS. KELLY BETH MUETING SLP Individual | Speech-Language Pathologist | 714 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 |
1447484472 | FLOYD VALLEY HOSPITAL Organization | Family Medicine | 714 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 |
1124014097 | DR. STEVEN JOSEPH MEIS M.D. Individual | Family Medicine | 714 LINCOLN ST NE LE MARS, IA 51031 (712) 546-3660 |
1043206089 | DR. SHEILA RAE HOLCOMB M.D. Individual | Family Medicine | 714 LINCOLN ST NE LE MARS, IA 51031 (712) 546-3630 |
1851387815 | MRS. 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 Medicine | 714 LINCOLN ST NE LE MARS, IA 51031 (712) 546-3680 |
1801150396 | DONALD E ODENS M.D. Individual | Family Medicine | 714 LINCOLN ST NE LE MARS, IA 51031 (712) 546-3685 |
1023013703 | MRS. GERI L SCHROEDER ARNP Individual | Nurse Practitioner | 714 LINCOLN ST NE LE MARS, IA 51031 (712) 546-3398 |
1265811038 | ASHLEY POWELL D.O. Individual | Family Medicine | 714 LINCOLN ST NE LE MARS, IA 51031 (712) 546-3620 |
1386607737 | CYNTHIA K. WOLFF M.D. Individual | Family Medicine | 714 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].
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