STEPHAN BRAUTIGAM CRNP
NPI 1215392550
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA

NPI Status: Active since December 30, 2015

Contact Information

8001 STATE RD
PHILADELPHIA, PA
ZIP 19136
Phone: (215) 624-0797

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  • Individual
  • Male
  • Years of Experience 9
  • Nurse Practitioner
  • Psychiatric/Mental Health
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About STEPHAN BRAUTIGAM

Stephan Brautigam is a provider established in Philadelphia, Pennsylvania and his medical specialization is Nurse Practitioner with a focus in psychiatric/mental health with more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1215392550 assigned on December 2015. The practitioner's primary taxonomy code is 363LP0808X with license number SP015817 (PA). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1215392550
Provider Name
STEPHAN BRAUTIGAM CRNP
Gender
Male
Entity Type
Individual
Location Address
8001 STATE RD PHILADELPHIA, PA 19136
Location Phone
(215) 624-0797
Mailing Address
8001 STATE RD PHILADELPHIA, PA 19136
Mailing Phone
(215) 624-0797
Medical School Name
OTHER
Graduation Year
2015
Is Sole Proprietor?
No
Enumeration Date
12-30-2015
Last Update Date
04-10-2016
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A nurse practitioner (NP) like Stephan Brautigam 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.

Stephan Brautigam 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.

The typical physician office visit costs for Medicare beneficiaries in this area are: $24.07 for a new patient copayment and $27.71 for an established patient copayment.

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 Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
SP015817
License State
PA

PECOS Enrollment and Medicare Participation Status

Stephan Brautigam 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: 840698593

    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: I20230823000160

    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

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 19136 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $96.31
  • Minimum New Patient Price $62.8
  • Maximum New Patient Price $189.43
  • Average New Patient Copayment $24.07
  • Minimum New Patient Copayment $15.7
  • Maximum New Patient Copayment $47.35

Established Patients Visit Costs *

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

  • Average Established Patient Price $110.85
  • Minimum Established Patient Price $19.68
  • Maximum Established Patient Price $154.62
  • Average Established Patient Copayment $27.71
  • Minimum Established Patient Copayment $4.92
  • Maximum Established Patient Copayment $38.65

* 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 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.
1215392550
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2225694510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 6 + 9 + 4 + 5 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1215392550 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013081835DR. MARIJA PETROVIC M.D.
Individual
Psychiatry & Neurology (Psychiatry)8001 STATE RD
PHILADELPHIA, PA 19136
(267) 918-1218
1316107212 DEBRA ANN D'AQUILANTE M.D.
Individual
Internal Medicine (Infectious Disease)8001 STATE RD HOC MOD II
PHILADELPHIA, PA 19136
(215) 335-4709
1548426836MS. VIVIAN TAYLOR PA-C
Individual
Physician Assistant (Medical)8001 STATE RD HOC MOD II
PHILADELPHIA, PA 19136
(215) 335-5877
1730335993 HELEN SARSKAYA PA-C
Individual
Physician Assistant (Medical)8001 STATE RD HOC MOD 2
PHILADELPHIA, PA 19136
(215) 335-5877
1851548101 JAMES ARNONE DO
Individual
Family Medicine8001 STATE RD
PHILADELPHIA, PA 19136
(215) 685-7741
1912148370DR. WILLIAM J RAYNER M.D
Individual
Family Medicine8001 STATE RD HOC MOD 2
PHILADELPHIA, PA 19136
(215) 335-5877
1659503837DR. EKE KALU M.D.
Individual
Internal Medicine8001 STATE RD HOC-MOD 2
PHILADELPHIA, PA 19136
(215) 335-5020
1447690847 NICHELLE R JONES APN
Individual
Nurse Practitioner (Psychiatric/Mental Health)8001 STATE RD
PHILADELPHIA, PA 19136
(215) 624-2565
1306327176 MATT KRISTOFOR CRNP, PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)8001 STATE RD
PHILADELPHIA, PA 19136
(215) 685-8215
1508269119 BEAUTINE BENBOW CRNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)8001 STATE RD MOD II, SUITE 106
PHILADELPHIA, PA 19136
(215) 624-2565
1508529918 SYMPHORIEN ANDRE KAMANOU NP
Individual
Nurse Practitioner (Psychiatric/Mental Health)8001 STATE RD
PHILADELPHIA, PA 19136
(215) 685-8215
1922640572 THERESA AUDREY YOGBOH MSN,CRNP,FNP-C
Individual
Family Medicine8001 STATE RD
PHILADELPHIA, PA 19136
(215) 335-4869

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215392550, enumerated in the NPI registry as an "individual" on December 30, 2015

The provider is located at 8001 State Rd Philadelphia, Pa 19136 and the phone number is (215) 624-0797

The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health

The provider has more than 9 years of experience.

Yes, as of June 14, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.

Medicare beneficiaries should expect a typical cost of $96.31 with an average copayment of $24.07 for new patient appointments. Established patients should expect a typical charge of $110.85 and an average copayment of 27.71. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on December 30, 2015. 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].
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