ELLA CECILIA HERAS
NPI 1205217312
Nurse Practitioner - Primary Care in Chicago, IL

NPI Status: Active since June 15, 2015

Contact Information

6821 S HALSTED ST
CHICAGO, IL
ZIP 60621
Phone: (773) 651-3629

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Nurse Practitioner
Primary Care
Accepts Insurance
PECOS Enrolled

About ELLA CECILIA HERAS

This page provides the complete NPI Profile along with additional information for Ella Cecilia Heras, a provider established in Chicago, Illinois with a medical specialization in Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1205217312 assigned on June 2015. The practitioner's primary taxonomy code is 363LP2300X with license number 209.012808 (IL). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI: 1205217312
Provider Name: ELLA CECILIA HERAS
Gender: Female
Entity Type: Individual
Location Address: 6821 S HALSTED ST CHICAGO, IL 60621
Location Phone: (773) 651-3629
Mailing Address: 6821 S HALSTED ST CHICAGO, IL 60621
Mailing Phone: (773) 651-3629
Is Sole Proprietor?: No
Enumeration Date: 06-15-2015
Last Update Date: 07-02-2015
Code Navigator

A nurse practitioner (NP) like Ella Cecilia Heras 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 Primary Care
Taxonomy Code: 363LP2300X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: 209.012808
License State: IL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Blue Cross and Blue Shield of Illinois

Blue Choice Preferred Bronze PPO? 201 - PPO
Blue Choice Preferred Bronze PPO? 701 - PPO
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
Blue Choice Preferred Gold PPO? 204 - PPO
Blue Choice Preferred Gold PPO? 901 - PPO
Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
Blue Choice Preferred Security PPO? 200 - PPO
Blue Choice Preferred Silver PPO? 203 - PPO
Blue Choice Preferred Silver PPO? 801 - PPO
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Ella Cecilia Heras 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
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

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 60621 ZIP code area.

New Patients Visit Costs *

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

Average New Patient Price $94.06
Minimum New Patient Price $60.08
Maximum New Patient Price $183.39

Average New Patient Copayment $23.51
Minimum New Patient Copayment $15.02
Maximum New Patient Copayment $45.84

Established Patients Visit Costs *

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

Average Established Patient Price $105.7
Minimum Established Patient Price $18.97
Maximum Established Patient Price $148.12

Average Established Patient Copayment $26.42
Minimum Established Patient Copayment $4.74
Maximum Established Patient Copayment $37.03

* 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.

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.
1	2	0	5	2	1	7	3	1	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	0	5	4	1	14	3	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 4 + 1 + 1 + 4 + 3 + 2 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 2									2

The NPI number 1205217312 is valid because the calculated check digit 2 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.

BELOVED COMMUNITY FAMILY WELLNESS CENTER

Clinic/Center

(Primary Care)

6821 S HALSTED ST
CHICAGO, IL
ZIP 60621

About ELLA CECILIA HERAS

Location Map

Specialty - Primary Taxonomy

Nurse Practitioner Primary Care

Insurance Plans Accepted

Blue Cross and Blue Shield of Illinois

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

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

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Reviews for ELLA CECILIA HERAS

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is Ella Cecilia Heras's NPI number?

Where is the provider located?

What is the provider's specialty?

What insurance does Ella Cecilia Heras accept?