NICOLLE M BURGWARDT M.D.
NPI 1144756271
Surgery - Surgical Critical Care in Stamford, CT

NPI Status: Active since May 10, 2017

Contact Information

ONE HOSPITAL PLAZA
STAMFORD, CT
ZIP 06904
Phone: (203) 276-7467
Fax: (203) 276-7020

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  • Individual
  • Female
  • Years of Experience 9
  • Surgery
  • Surgical Critical Care
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About NICOLLE BURGWARDT

This page provides the complete NPI Profile along with additional information for Nicolle Burgwardt, a provider established in Stamford, Connecticut with a medical specialization in Surgery, focusing in surgical critical care and more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1144756271 assigned on May 2017. The practitioner's primary taxonomy code is 2086S0102X with license number 79381 (CT). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1144756271
Provider Name
NICOLLE M BURGWARDT M.D.
Gender
Female
Entity Type
Individual
Location Address
ONE HOSPITAL PLAZA STAMFORD, CT 06904
Location Phone
(203) 276-7467
Location Fax
(203) 276-7020
Mailing Address
ONE HOSPITAL PLAZA STAMFORD, CT 06904
Mailing Phone
(203) 276-7467
Mailing Fax
(203) 276-7020
Medical School Name
OTHER
Graduation Year
2017
Is Sole Proprietor?
No
Enumeration Date
05-10-2017
Last Update Date
10-25-2024
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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

Surgery Surgical Critical Care

Taxonomy Code
2086S0102X
Type
Allopathic & Osteopathic Physicians
License No.
79381
License State
CT
Taxonomy Description
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Medicare Participation & PECOS Enrollment Status

Nicolle Burgwardt 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.

Nicolle Burgwardt 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: 4183157902

    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: I20241031001329

    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

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1144756271, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
4
Doubled → 8
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 7 → 14 → 5 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 8 + 4 + 1 + 4 + 5 + 1 + 2 + 2 + 1 + 4 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1144756271.

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Physician Assistant (Medical)
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Nurse Practitioner (Acute Care)
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Physician Assistant
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Internal Medicine (Hematology & Oncology)
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Internal Medicine
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Obstetrics & Gynecology (Gynecology)
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Nurse Practitioner (Psychiatric/Mental Health)
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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144756271, enumerated as an "individual" on May 10, 2017.

The provider is located at ONE HOSPITAL PLAZA STAMFORD, CT 06904 and the phone number is (203) 276-7467.

Surgery with taxonomy code 2086S0102X and a focus in Surgical Critical Care.