MICHELLE MCLAUGHLIN CRNA NPI 1134156714
Nurse Anesthetist, Certified Registered in Renton, WA

Individual Female Nurse Anesthetist, Certified Registered MIPS Quality Score 80.6

About MICHELLE MCLAUGHLIN CRNA

Michelle Mclaughlin is a provider established in Renton, Washington and her medical specialization is Nurse Anesthetist, Certified Registered. The NPI number of Michelle Mclaughlin is 1134156714 and was assigned on June 2006. The practitioner's primary taxonomy code is 367500000X with license number AP30003113 (WA). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1134156714
Provider Name MICHELLE MCLAUGHLIN CRNA
Provider Location Address400 S 43RD ST RENTON, WA 98055
Provider Mailing AddressPO BOX 84571 SEATTLE, WA 98124
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date06-27-2006
Last Update Date02-05-2008



Michelle Mclaughlin 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 80.6, 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.



Primary Taxonomy

Taxonomy Code367500000X
ClassificationNurse Anesthetist, Certified Registered
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.AP30003113
License StateWA
Taxonomy Description(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Business Address

MICHELLE MCLAUGHLIN CRNA
400 S 43RD ST
RENTON, WA
ZIP 98055
Phone: (800) 540-1814
Fax: (425) 353-8041

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Mailing Address

MICHELLE MCLAUGHLIN CRNA
PO BOX 84571
SEATTLE, WA
ZIP 98124
Phone: (425) 353-3788
Fax: (425) 353-8041


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% 98
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% 34
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% 75.8
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 - 80.6
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.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 49Anesthesia for procedure on gastrointestinal tract using an endoscope (HCPCS:00740)

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
1163W00000XNursing Service ProvidersRegistered Nurse200560017CRNAORNo

Taxonomy Description: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

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
GAB16208MEDICARE PIN (08)WA
9628520MEDICAID (05)WA

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.
1134156714
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164251272
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 2 + 5 + 1 + 2 + 7 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1134156714 is valid because the calculated check digit 4 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
1215918081IMAGING PARTNERS AT VALLEY LLC
Organization
Radiology (Diagnostic Radiology)400 S 43RD ST OLYMPIC BUILDING
RENTON, WA 98055
(425) 656-5550
1841272630MS. KATHLEEN PORTER PHARM.D.
Individual
Pharmacist400 S 43RD ST
RENTON, WA 98055
(425) 917-6776
1356329221MR. NICHOLAS M REZEK PA C
Individual
Physician Assistant400 S 43RD ST
RENTON, WA 98055
(425) 228-3450
1174581573 STEPHEN WILLIAM BRETZ MD
Individual
Emergency Medicine (Emergency Medical Services)400 S 43RD ST ER DEPT
RENTON, WA 98055
(425) 251-3440
1417908591 JOHN PAUL NARDELLA MD
Individual
Anesthesiology400 S 43RD ST
RENTON, WA 98055
(800) 540-1814
1033165097VALLEY ANESTHESIA ASSOCIATES, PLLC
Organization
Anesthesiology400 S 43RD ST
RENTON, WA 98055
(800) 540-1814
1134169683 PETER R. SCHMIDT MD
Individual
Emergency Medicine (Emergency Medical Services)400 S 43RD ST ER DEPT
RENTON, WA 98055
(425) 228-3450
1083655682PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY
Organization
Surgery400 S 43RD ST
RENTON, WA 98055
(425) 656-5512
1528000239 DAVID STERNFELD MD
Individual
Emergency Medicine (Emergency Medical Services)400 S 43RD ST ER DEPT
RENTON, WA 98055
(425) 228-3440
1972521391 LAURIE E FORCE ARNP
Individual
Nurse Practitioner400 S 43RD ST
RENTON, WA 98055
(425) 656-5512
1659392512 JAMES L RUDOLPH MD
Individual
Internal Medicine400 S 43RD ST
RENTON, WA 98055
(425) 228-3440
1801819743 SHANNON TAYLOR CORRIGAN M.D.
Individual
Emergency Medicine (Emergency Medical Services)400 S 43RD ST ER DEPT
RENTON, WA 98055
(425) 228-3450
1154339539 KARL H KAUFMANN MD
Individual
Emergency Medicine (Emergency Medical Services)400 S 43RD ST ER DEPT
RENTON, WA 98055
(425) 228-3450
1326056771 LARRY J KADEG MD
Individual
Emergency Medicine (Emergency Medical Services)400 S 43RD ST ER DEPT
RENTON, WA 98055
(425) 228-3450
1376654681 MANH MK NGUYEN MD
Individual
Anesthesiology400 S 43RD ST
RENTON, WA 98055
(425) 353-3788
1053422378 ICHIRO OTSU MD
Individual
Anesthesiology400 S 43RD ST
RENTON, WA 98055
(425) 353-3788
1770694929 RODRICK J XUEREB MD
Individual
Anesthesiology400 S 43RD ST
RENTON, WA 98055
(425) 353-3788
1790897932 SCOTT THOMAS MILNE MD
Individual
Emergency Medicine (Emergency Medical Services)400 S 43RD ST
RENTON, WA 98055
(428) 228-3450
1881706869 SAMUEL HARRIS POPE III RN
Individual
Nurse Anesthetist, Certified Registered400 S 43RD ST
RENTON, WA 98055
(425) 353-3788
1376655332 RAYMOND J RADELL RN
Individual
Nurse Anesthetist, Certified Registered400 S 43RD ST
RENTON, WA 98055
(425) 353-3788

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
Michelle Mclaughlin Crna 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.