DEBBIE MENDELSOHN RN
NPI 1215915228
Registered Nurse - Psychiatric/Mental Health, Adult in Providence, RI

NPI Status: Active since January 09, 2006

Contact Information

164 SUMMIT AVE
PROVIDENCE, RI
ZIP 02906
Phone: (401) 793-4500

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  • Individual
  • Female
  • Years of Experience 37
  • Registered Nurse
  • Psychiatric/Mental Health, Adult
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About DEBBIE MENDELSOHN

This page provides the complete NPI Profile along with additional information for Debbie Mendelsohn, a provider established in Providence, Rhode Island with a medical specialization in Registered Nurse, focusing in psychiatric/mental health, adult and more than 37 years of experience. The healthcare provider is registered in the NPI registry with number 1215915228 assigned on January 2006. The practitioner's primary taxonomy code is 163WP0809X with license number APRN00843 (RI). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1215915228
Provider Name
DEBBIE MENDELSOHN RN
Gender
Female
Entity Type
Individual
Location Address
164 SUMMIT AVE PROVIDENCE, RI 02906
Location Phone
(401) 793-4500
Mailing Address
206 ELMGROVE AVE PROVIDENCE, RI 02906
Mailing Phone
(401) 751-2975
Medical School Name
OTHER
Graduation Year
1989
Is Sole Proprietor?
No
Enumeration Date
01-09-2006
Last Update Date
04-12-2019
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A registered nurse (RN) like Debbie Mendelsohn coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.

Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.

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

Registered Nurse Psychiatric/Mental Health, Adult

Taxonomy Code
163WP0809X
Type
Nursing Service Providers
License No.
APRN00843
License State
RI

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
407042OTHER (01)RIBLUECHIP
30532-1OTHER (01)RIBCBS RI

Medicare Participation & PECOS Enrollment Status

Debbie Mendelsohn 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.

Debbie Mendelsohn 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: 2466499611

    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: I20050411000195

    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

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 66 times for 35 patients

Follow-up nursing facility visit per day, typically 15 minutes

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

This service was performed 14 times for 13 patients

Follow-up nursing facility visit per day, typically 25 minutes

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

This service was performed 19 times for 15 patients

Follow-up nursing facility visit per day, typically 25 minutes

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

This service was performed 197 times for 85 patients

Psychiatric diagnostic evaluation with medical services

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

This service was performed 94 times for 93 patients

Psychiatric diagnostic evaluation with medical services

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

This service was performed 73 times for 72 patients

Psychotherapy with evaluation and management visit, 30 minutes

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

This service was performed 47 times for 23 patients

Psychotherapy with evaluation and management visit, 45 minutes

Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.

This service was performed 29 times for 12 patients

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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 1215915228, 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
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
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 1 → 2 9 → 18 → 9 5 → 10 → 1 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 2 + 5 + 1 + 8 + 1 + 1 + 0 + 2 + 4 + 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 1215915228.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology
164 SUMMIT AVE
PROVIDENCE, RI 02906
Nurse Anesthetist, Certified Registered
164 SUMMIT AVE
PROVIDENCE, RI 02906
Nurse Anesthetist, Certified Registered
164 SUMMIT AVE
PROVIDENCE, RI 02906
Nurse Anesthetist, Certified Registered
164 SUMMIT AVE
PROVIDENCE, RI 02906
Internal Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Nurse Anesthetist, Certified Registered
164 SUMMIT AVE
PROVIDENCE, RI 02906
Nurse Anesthetist, Certified Registered
164 SUMMIT AVE
PROVIDENCE, RI 02906
Psychiatry & Neurology (Psychiatry)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Internal Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Internal Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Internal Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Internal Medicine (Pulmonary Disease)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Registered Nurse (Psychiatric/Mental Health, Adult)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Internal Medicine (Cardiovascular Disease)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Internal Medicine (Hematology & Oncology)
164 SUMMIT AVE, FAIN 3
PROVIDENCE, RI 02906
Occupational Therapist
164 SUMMIT AVE
PROVIDENCE, RI 02906
Pathology (Anatomic Pathology)
164 SUMMIT AVE, DEPARTMENT OF PATHOLOGY
PROVIDENCE, RI 02906
Internal Medicine (Infectious Disease)
164 SUMMIT AVE, FAIN BLDG., SUITE E
PROVIDENCE, RI 02906
Internal Medicine (Infectious Disease)
164 SUMMIT AVE, FAIN BLDG, SUITE E
PROVIDENCE, RI 02906
Internal Medicine (Infectious Disease)
164 SUMMIT AVE, FAIN BLDG., SUITE E
PROVIDENCE, RI 02906

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215915228, enumerated as an "individual" on January 09, 2006.

The provider is located at 164 SUMMIT AVE PROVIDENCE, RI 02906 and the phone number is (401) 793-4500.

Registered Nurse with taxonomy code 163WP0809X and a focus in Psychiatric/Mental Health, Adult.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.