KRISTINA MCGROARTY CRNP
NPI 1164660288
Nurse Practitioner - Family in West Chester, PA

NPI Status: Active since January 27, 2009

Contact Information

839 LINCOLN AVE
SUITE A
WEST CHESTER, PA
ZIP 19380
Phone: (610) 241-3050
Fax: (610) 241-3059

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  • Individual
  • Female
  • Nurse Practitioner
  • Family
  • PECOS Enrolled

About KRISTINA MCGROARTY

This page provides the complete NPI Profile along with additional information for Kristina Mcgroarty, a provider established in West Chester, Pennsylvania with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1164660288 assigned on January 2009. The practitioner's primary taxonomy code is 363LF0000X with license number SP010035 (PA). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1164660288
Provider Name
KRISTINA MCGROARTY CRNP
Gender
Female
Entity Type
Individual
Location Address
839 LINCOLN AVE SUITE A WEST CHESTER, PA 19380
Location Phone
(610) 241-3050
Location Fax
(610) 241-3059
Mailing Address
839 LINCOLN AVE SUITE A WEST CHESTER, PA 19380
Mailing Phone
(610) 241-3050
Mailing Fax
(610) 241-3059
Is Sole Proprietor?
No
Enumeration Date
01-27-2009
Last Update Date
08-07-2014
Code Navigator

A nurse practitioner (NP) like Kristina Mcgroarty 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.

Location Map

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.
SP010035
License State
PA

Medicare Participation & PECOS Enrollment Status

Kristina Mcgroarty 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: Durable Medical Equipment (DME) 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: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • 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 19380 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $92.69
  • Minimum New Patient Price $59.88
  • Maximum New Patient Price $180.99
  • Average New Patient Copayment $23.17
  • Minimum New Patient Copayment $14.97
  • Maximum New Patient Copayment $45.24

Established Patients Visit Costs *

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

  • Average Established Patient Price $105.21
  • Minimum Established Patient Price $19.3
  • Maximum Established Patient Price $147.29
  • Average Established Patient Copayment $26.3
  • Minimum Established Patient Copayment $4.82
  • Maximum Established Patient Copayment $36.82

* 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 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 1164660288, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
8
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 6 → 12 → 3 6 → 12 → 3 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 2 + 4 + 1 + 2 + 6 + 0 + 2 + 1 + 6 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1164660288.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
839 LINCOLN AVE, SUITE A
WEST CHESTER, PA 19380
Family Medicine
839 LINCOLN AVE, SUITE A
WEST CHESTER, PA 19380
Physical Therapist
839 LINCOLN AVE, SUITE 3
WEST CHESTER, PA 19380

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164660288, enumerated as an "individual" on January 27, 2009.

The provider is located at 839 LINCOLN AVE SUITE A WEST CHESTER, PA 19380 and the phone number is (610) 241-3050.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.