JEREMIAH JAMES PALICKA RN, CRNA
NPI 1184236531
Nurse Anesthetist, Certified Registered in Tucson, AZ

NPI Status: Active since August 18, 2020

Contact Information

1625 N CAMPBELL AVE
TUCSON, AZ
ZIP 85719
Phone: (520) 694-0111

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  • Individual
  • Male
  • Years of Experience 3
  • Nurse Anesthetist, Certified Registered
  • Accepts Medicare Approved Payment

About JEREMIAH PALICKA

This page provides the complete NPI Profile along with additional information for Jeremiah Palicka, a provider established in Tucson, Arizona with a medical specialization in Nurse Anesthetist, Certified Registered and more than 3 years of experience. The healthcare provider is registered in the NPI registry with number 1184236531 assigned on August 2020. The practitioner's primary taxonomy code is 367500000X with license number 0024187576 (VA). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1184236531
Provider Name
JEREMIAH JAMES PALICKA RN, CRNA
Gender
Male
Entity Type
Individual
Location Address
1625 N CAMPBELL AVE TUCSON, AZ 85719
Location Phone
(520) 694-0111
Mailing Address
6968 W TACNA DR TUCSON, AZ 85743
Mailing Phone
(520) 603-2259
Medical School Name
OTHER
Graduation Year
2023
Is Sole Proprietor?
No
Enumeration Date
08-18-2020
Last Update Date
12-09-2024
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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

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
0024187576
License State
VA
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.

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)
1163WC0200XNursing Service Providers

Registered Nurse
Critical Care Medicine

RN210075 (AZ)

Medicare Participation & PECOS Enrollment Status

Jeremiah Palicka 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.

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.

  • PECOS PAC ID: 2264895838

    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: I20230830000093

    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.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $31.92 for a new patient copayment and $17.31 for an established patient copayment.

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 85719 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $127.71
  • Minimum New Patient Price $55.44
  • Maximum New Patient Price $168.6
  • Average New Patient Copayment $31.92
  • Minimum New Patient Copayment $13.86
  • Maximum New Patient Copayment $42.15

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.24
  • Minimum Established Patient Price $17.72
  • Maximum Established Patient Price $137.41
  • Average Established Patient Copayment $17.31
  • Minimum Established Patient Copayment $4.43
  • Maximum Established Patient Copayment $34.35

* 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.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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. Jeremiah Palicka is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
INOVA ALEXANDRIA HOSPITAL4320 SEMINARY RD
ALEXANDRIA, VA 22304
(703) 504-3167Acute Care Hospitals

Reviews for JEREMIAH JAMES PALICKA RN, CRNA

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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.
1184236531
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21164431256
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 4 + 3 + 1 + 2 + 5 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1184236531 is valid because the calculated check digit 1 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.

NANCY CHEN MD

Hospitalist

1625 N CAMPBELL AVE
TUCSON, AZ
ZIP 85719

(520) 626-6614

JAMES H SMITT MD

Emergency Medicine

1625 N CAMPBELL AVE
TUCSON, AZ
ZIP 85719

(520) 626-7233

DR. CHRISTOPHER BRIAN JOHNSON M.D.

Internal Medicine

1625 N CAMPBELL AVE
TUCSON, AZ
ZIP 85719

(520) 694-0111

LAURA SANDT FNP-C

Nurse Practitioner

(Family)

1625 N CAMPBELL AVE
TUCSON, AZ
ZIP 85719

(520) 694-6000

HEATHER FYDRYCH

Nurse Practitioner

(Pediatrics)

1625 N CAMPBELL AVE
TUCSON, AZ
ZIP 85719

(520) 694-0000

GRACE HYEYOUNG PARK

Pharmacist

1625 N CAMPBELL AVE
TUCSON, AZ
ZIP 85719

(520) 694-0111

MICHELINA CALIN DE LA MAZA MD

Pediatrics

1625 N CAMPBELL AVE
TUCSON, AZ
ZIP 85719

(520) 626-7053

GALEN GARCIA M.D.

Anesthesiology

(Pediatric Anesthesiology)

1625 N CAMPBELL AVE
TUCSON, AZ
ZIP 85719

(520) 694-0111

SHEILA MICKELS

Nurse Anesthetist, Certified Registered

1625 N CAMPBELL AVE
TUCSON, AZ
ZIP 85719

(520) 694-0111

MRS. STEPHANIE WALLACE PA-C

Physician Assistant

1625 N CAMPBELL AVE
TUCSON, AZ
ZIP 85719

(520) 694-0111

MRS. ADRIANA JAZMIN MEDEIROS FNP

Nurse Practitioner

(Family)

1625 N CAMPBELL AVE
TUCSON, AZ
ZIP 85719

(520) 694-0111

BARBARA ALVA MAYER NP

Nurse Practitioner

(Acute Care)

1625 N CAMPBELL AVE
TUCSON, AZ
ZIP 85719

(520) 694-0111

KATIE SANDUSKY MSN/FNP-BC

Nurse Practitioner

(Family)

1625 N CAMPBELL AVE
TUCSON, AZ
ZIP 85719

(520) 694-0111

SPENCER JEFFREY KNIGHT MD

Student in an Organized Health Care Education/Training Program

1625 N CAMPBELL AVE
TUCSON, AZ
ZIP 85719

(520) 694-0111

MADELINE MERCIER

Emergency Medicine

1625 N CAMPBELL AVE
TUCSON, AZ
ZIP 85719

(520) 626-7233

ALEXANDRA JORDAN BARBOSA MD

Emergency Medicine

1625 N CAMPBELL AVE
TUCSON, AZ
ZIP 85719

(520) 626-7233

ALFONSO TADEUS ZAVALA

Student in an Organized Health Care Education/Training Program

1625 N CAMPBELL AVE
TUCSON, AZ
ZIP 85719

(520) 694-0111

DR. JONATHAN ALLEN SEAMAN MD

Urology

1625 N CAMPBELL AVE
TUCSON, AZ
ZIP 85719

(520) 694-0111

DR. JONATHAN PATRICK COSS MD

Emergency Medicine

1625 N CAMPBELL AVE
TUCSON, AZ
ZIP 85719

(520) 626-7233

SAMUEL MEADE FREEDMAN

Emergency Medicine

1625 N CAMPBELL AVE
TUCSON, AZ
ZIP 85719

(520) 626-7233

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184236531, enumerated as an "individual" on August 18, 2020.

The provider is located at 1625 N CAMPBELL AVE TUCSON, AZ 85719 and the phone number is (520) 694-0111.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Jeremiah Palicka is affiliated with: INOVA ALEXANDRIA HOSPITAL.