Nurse Anesthetist, Certified Registered in Salina, KS


Anne Njoroge is a provider established in Salina, Kansas and her medical specialization is Nurse Anesthetist, Certified Registered with more than 5 years of experience. The NPI number of Anne Njoroge is 1164911525 and was assigned on May 2018. The practitioner's primary taxonomy code is 367500000X with license number 557585 (KS). The provider is registered as an individual and her NPI record was last updated 4 years ago.

Location Address200 S 5TH ST STE A SALINA, KS 67401
Location Phone(785) 827-2238
Mailing AddressPO BOX 1607 SALINA, KS 67402
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2018
Is Sole Proprietor?No
Enumeration Date05-01-2018
Last Update Date04-25-2019

Anne Njoroge is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 84.4, 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.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.21 for a new patient copayment and $24.61 for an established patient copayment.

Primary Taxonomy

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.

Taxonomy Code367500000X
ClassificationNurse Anesthetist, Certified Registered
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.557585
License StateKS
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

200 S 5TH ST STE A
ZIP 67401
Phone: (785) 827-2238
Fax: (785) 827-1684

Get Directions

Mailing Address

PO BOX 1607
ZIP 67402
Phone: (785) 827-2238
Fax: (785) 827-1684

Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

PECOS PAC ID1557619202
PECOS Enrollment IDI20180813001308
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.

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 67401 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$54.99 $168.07 $84.85
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.74 $42.01 $21.21
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.06 $137.62 $98.47
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.26 $34.4 $24.61

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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% 78.4
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% N/A
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% 83.6
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 - 84.4
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.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare 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. Anne Njoroge is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
SALINA, KS 67401
(785) 452-7000Acute Care Hospitals170012
SALINA, KS 67401
(785) 827-0610Acute Care Hospitals170187

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.
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 8 + 1 + 2 + 5 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1164911525 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
Nurse Anesthetist, Certified Registered200 S 5TH ST STE A
SALINA, KS 67401
(785) 827-2238
Nurse Anesthetist, Certified Registered200 S 5TH ST STE A
SALINA, KS 67401
(785) 827-2238
Nurse Anesthetist, Certified Registered200 S 5TH ST STE A
SALINA, KS 67401
(785) 827-2238
Nurse Anesthetist, Certified Registered200 S 5TH ST STE A
SALINA, KS 67401
(785) 827-2238
Nurse Anesthetist, Certified Registered200 S 5TH ST STE A
SALINA, KS 67401
(785) 827-2238
Nurse Anesthetist, Certified Registered200 S 5TH ST STE A
SALINA, KS 67401
(785) 827-2238
Nurse Anesthetist, Certified Registered200 S 5TH ST STE A
SALINA, KS 67401
(785) 827-2238
Nurse Anesthetist, Certified Registered200 S 5TH ST STE A
SALINA, KS 67401
(785) 827-2238

Frequently Asked Questions

What is Anne Njoroge NPI number?

The NPI number assigned to Anne Njoroge is 1164911525, registered as an "individual" on May 01, 2018

Where is Anne Njoroge located?

The provider is located at 200 S 5th St Ste A Salina, Ks 67401 and the phone number is (785) 827-2238

Which is Anne Njoroge specialty?

The provider's speciality is Nurse Anesthetist, Certified Registered

How many years of experience does Anne Njoroge have?

The provider has more than 5 years of experience.

How much is a visit to Anne Njoroge ?

Medicare beneficiaries should expect a typical cost of $84.85 with an average copayment of $21.21 for new patient appointments. Established patients should expect a typical charge of $98.47 and an average copayment of 24.61. Please review your insurance plan or contact the provider directly to determine your specific costs.

Is Anne Njoroge affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: SALINA REGIONAL HEALTH CENTER and SALINA SURGICAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Anne Njoroge was last updated on May 01, 2018. 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]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]