MS. KIM KROEGER-BUSHELL PMHNP
NPI 1104191097
Nurse Practitioner - Psychiatric/Mental Health in Cortlandt Manor, NY
NPI Status: Active since March 12, 2012
Contact Information
7 CROTON AVENUE
CORTLANDT MANOR, NY
ZIP 10567
Phone: (914) 962-5800
Fax: (315) 326-4290
- Individual
- Female
- Nurse Practitioner
- Psychiatric/Mental Health
- PECOS Enrolled
About KIM KROEGER-BUSHELL
Kim Kroeger-bushell is a provider established in Cortlandt Manor, New York and her medical specialization is Nurse Practitioner with a focus in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1104191097 assigned on March 2012. The practitioner's primary taxonomy code is 363LP0808X with license number 402471 (NY). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1104191097
- Provider Name
- MS. KIM KROEGER-BUSHELL PMHNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 7 CROTON AVENUE CORTLANDT MANOR, NY 10567
- Location Phone
- (914) 962-5800
- Location Fax
- (315) 326-4290
- Mailing Address
- 7 CROTON AVENUE CORTLANDT MANOR, NY 10567
- Mailing Phone
- (914) 962-5800
- Mailing Fax
- (315) 326-4290
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-12-2012
- Last Update Date
- 08-15-2018
- Code Navigator
A nurse practitioner (NP) like Kim Kroeger-bushell 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.
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 Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 402471
- License State
- NY
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) |
|---|---|---|---|---|
| 1 | 163W00000X | Nursing Service Providers | Registered Nurse | 474578-1 (NY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Florida Health Care Plans
- Gym Access IND Bronze HMO 1340 - HMO
- Gym Access IND Bronze HMO HSA 5065 - HMO
- Gym Access IND Bronze HMO OA 1211 - HMO
- Gym Access IND Bronze HMO OA Standard 2450 - HMO
- Gym Access IND Bronze POS 1042 - POS
- Gym Access IND Bronze POS BC 3841 - POS
- Gym Access IND Bronze POS OA 1211 - POS
- Gym Access IND Bronze POS OA Standard 2450 - POS
- Gym Access IND Bronze Standardized HMO - HMO
- Gym Access IND Essential Plus Catastrophic HMO 36 - HMO
- Gym Access IND Essential Plus Catastrophic POS 37 - POS
- Gym Access IND Essential Plus Platinum POS 65 - POS
- Gym Access IND Essential Plus Silver HMO 53 - HMO
- Gym Access IND Essential Plus Silver POS 54 - POS
- Gym Access IND Gold HMO 4500 - HMO
- Gym Access IND Gold HMO 55001 - HMO
- Gym Access IND Gold HMO BC 5651 - HMO
- Gym Access IND Gold HMO H.S.A 9010 - HMO
- Gym Access IND Gold HMO OA Standard 3450 - HMO
- Gym Access IND Gold POS 4500 - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
PECOS Enrollment and Medicare Participation Status
Kim Kroeger-bushell 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
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 10567 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $109.58
- Minimum New Patient Price $71.49
- Maximum New Patient Price $215.02
- Average New Patient Copayment $27.39
- Minimum New Patient Copayment $17.87
- Maximum New Patient Copayment $53.75
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $124.65
- Minimum Established Patient Price $22.05
- Maximum Established Patient Price $174.06
- Average Established Patient Copayment $31.16
- Minimum Established Patient Copayment $5.51
- Maximum Established Patient Copayment $43.51
* 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.
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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 | 1 | 0 | 4 | 1 | 9 | 1 | 0 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 2 | 9 | 2 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 2 + 9 + 2 + 0 + 1 + 8 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1104191097 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104191097, enumerated in the NPI registry as an "individual" on March 12, 2012
The provider is located at 7 Croton Avenue Cortlandt Manor, Ny 10567 and the phone number is (914) 962-5800
The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health
The provider might be accepting Accepts: Florida Health Care Plans. 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 $109.58 with an average copayment of $27.39 for new patient appointments. Established patients should expect a typical charge of $124.65 and an average copayment of 31.16. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 12, 2012. 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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