EMILY ROSE ZIEGLER CNM
NPI 1225417330
Advanced Practice Midwife in Redmond, OR
NPI Status: Active since May 21, 2015
Contact Information
340 NW 5TH ST
REDMOND, OR
ZIP 97756
Phone: (541) 526-6635
Fax: (541) 526-6636
- Individual
- Female
- Years of Experience 9
- Advanced Practice Midwife
- PECOS Enrolled
- Accepts Medicare Approved Payment
About EMILY ZIEGLER
Emily Ziegler is a provider established in Redmond, Oregon and her medical specialization is Advanced Practice Midwife with more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1225417330 assigned on May 2015. The practitioner's primary taxonomy code is 367A00000X with license number 201810922NP-PP (OR). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1225417330
- Provider Name
- EMILY ROSE ZIEGLER CNM
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 340 NW 5TH ST REDMOND, OR 97756
- Location Phone
- (541) 526-6635
- Location Fax
- (541) 526-6636
- Mailing Address
- 2500 NE NEFF RD BEND, OR 97701
- Medical School Name
- OTHER
- Graduation Year
- 2015
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-21-2015
- Last Update Date
- 06-01-2020
- Code Navigator
Emily Ziegler 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: $21.7 for a new patient copayment and $17.7 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
Advanced Practice Midwife
- Taxonomy Code
- 367A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 201810922NP-PP
- License State
- OR
- Taxonomy Description
- Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Location Map
Secondary Locations
- 315 MLK Jr Way
Tacoma, WA 98405
(253) 530-8122 - 2500 NE Neff Rd
Bend, OR 97701
(541) 382-4321
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) |
|---|---|---|---|---|
| 1 | 163WW0101X | Nursing Service Providers | Registered Nurse | RN60472042 (WA) |
| 2 | 363LW0102X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | AP60616553 (WA) |
| 3 | 363LX0001X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | AP60616553 (WA) |
| 4 | 367A00000X | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife | AP60616553 (WA) |
| 5 | 367A00000X | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife | CNM3016 (WA) |
| 6 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | RN60472042 (WA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
BridgeSpan Health Company
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
Moda Health Plan, Inc.
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HSA 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3500 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6400 - EPO
- Moda Health Oregon Standard Bronze Plan (Affinity) - EPO
- Moda Health Oregon Standard Gold (Affinity) - EPO
- Moda Health Oregon Standard Silver (Affinity) - EPO
PacificSource Health Plans
- Navigator Bronze 7000 - PPO
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9400 - PPO
- Navigator Bronze 9400 Exchange - PPO
- Navigator Bronze HSA 7500 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Navigator Standard Expanded Bronze - PPO
- Navigator Standard Gold - PPO
- Navigator Standard Silver - PPO
Providence Health Plan
- HSA Qualified 7100 Bronze - Signature Network - EPO
- HSA Qualified 7100 Bronze - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
Regence BlueCross BlueShield of Oregon
- Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
- Bronze HSA 7000 Individual and Family Network - EPO
- Bronze Virtual Value 8500 Individual and Family Network - EPO
- Gold 2500 Individual and Family Network - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Silver 4500 Individual and Family Network - EPO
- Silver 6500 Individual and Family Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
PECOS Enrollment and Medicare Participation Status
Emily Ziegler 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 and Durable Medical Equipment (DME).
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: 6305141573
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: I20191101001437
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): No
Eligible to Order or Refer Power Mobility Devices: No
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 97756 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $86.82
- Minimum New Patient Price $56.38
- Maximum New Patient Price $171.59
- Average New Patient Copayment $21.7
- Minimum New Patient Copayment $14.09
- Maximum New Patient Copayment $42.89
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $70.82
- Minimum Established Patient Price $17.6
- Maximum Established Patient Price $140.51
- Average Established Patient Copayment $17.7
- Minimum Established Patient Copayment $4.4
- Maximum Established Patient Copayment $35.12
* 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. | |||||||||
| 1 | 2 | 2 | 5 | 4 | 1 | 7 | 3 | 3 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 4 | 5 | 8 | 1 | 14 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 4 + 5 + 8 + 1 + 1 + 4 + 3 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1225417330 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1073590683 | AMY B MCELROY FNP Individual | Nurse Practitioner (Family) | 340 NW 5TH ST SUITE 101 REDMOND, OR 97756 (541) 526-6635 |
| 1477572014 | DR. BARBARA S NEWMAN M.D. Individual | Obstetrics & Gynecology | 340 NW 5TH ST SUITE 101 REDMOND, OR 97756 (541) 526-6635 |
| 1770952350 | CYNTHIA BROCKETT CPS Individual | Counselor (Addiction (Substance Use Disorder)) | 340 NW 5TH ST BOX 1710 REDMOND, OR 97756 (541) 516-4087 |
| 1225407836 | TAYVA TUCKER Individual | Counselor (Addiction (Substance Use Disorder)) | 340 NW 5TH ST BOX 1710 REDMOND, OR 97756 (541) 516-4087 |
| 1144699703 | EDGAR PINEDA CPS Individual | Counselor (Addiction (Substance Use Disorder)) | 340 NW 5TH ST BOX 710 REDMOND, OR 97756 (541) 516-4087 |
| 1104295799 | TRENT TITUS CRM Individual | Counselor (Addiction (Substance Use Disorder)) | 340 NW 5TH ST BOX 1710 REDMOND, OR 97756 (541) 516-4087 |
| 1154791580 | PAUL JIM CADC Individual | Counselor (Addiction (Substance Use Disorder)) | 340 NW 5TH ST BOX 1710 REDMOND, OR 97756 (541) 475-6575 |
| 1235509274 | MONIKA CASTANEDA LPC Individual | Counselor (Addiction (Substance Use Disorder)) | 340 NW 5TH ST BOX 1710 REDMOND, OR 97756 (540) 516-4087 |
| 1154791192 | ALVIN BECKER MS Individual | Counselor (Addiction (Substance Use Disorder)) | 340 NW 5TH ST BOX 1710 REDMOND, OR 97756 (540) 516-4087 |
| 1114397114 | HALEY FITZGERALD CRM Individual | Counselor (Addiction (Substance Use Disorder)) | 340 NW 5TH ST BOX 1710 REDMOND, OR 97756 (541) 516-4087 |
| 1134599160 | WILLIAMS STEPHENS CRM Individual | Counselor (Addiction (Substance Use Disorder)) | 340 NW 5TH ST BOX 1710 REDMOND, OR 97756 (541) 516-4087 |
| 1205207958 | HARRY ZORRILLA CADC II Individual | Counselor (Addiction (Substance Use Disorder)) | 340 NW 5TH ST BOX 1710 REDMOND, OR 97756 (541) 516-4087 |
| 1467823112 | SALVADOR AMEZOLA CADC II Individual | Counselor (Addiction (Substance Use Disorder)) | 340 NW 5TH ST BOX 1710 REDMOND, OR 97756 (541) 516-4087 |
| 1649641739 | MELISSA MATSON Individual | Counselor (Mental Health) | 340 NW 5TH ST BOX 1710 REDMOND, OR 97756 (541) 883-2795 |
| 1790156834 | MARK SASICH CADC I Individual | Counselor (Addiction (Substance Use Disorder)) | 340 NW 5TH ST BOX 1710 REDMOND, OR 97756 (541) 883-2795 |
| 1730551474 | STEPHANIE PARKER LPC Individual | Counselor (Mental Health) | 340 NW 5TH ST BOX 1710 REDMOND, OR 97756 (541) 516-4087 |
| 1144694472 | ASHLEY PROTHERO RN, QMHP Individual | Registered Nurse | 340 NW 5TH ST BOX 1710 REDMOND, OR 97756 (541) 516-4087 |
| 1093180226 | ROWDY RANDALL CRM Individual | Counselor (Addiction (Substance Use Disorder)) | 340 NW 5TH ST BOX 1710 REDMOND, OR 97756 (541) 516-4087 |
| 1457716797 | MARK MATTHEWS QMHA Individual | Counselor | 340 NW 5TH ST BOX 1710 REDMOND, OR 97756 (541) 516-4099 |
| 1518322858 | CORINA BURICH QMHA Individual | Counselor | 340 NW 5TH ST BOX 1710 REDMOND, OR 97756 (541) 516-4099 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225417330, enumerated in the NPI registry as an "individual" on May 21, 2015
The provider is located at 340 Nw 5th St Redmond, Or 97756 and the phone number is (541) 526-6635
The provider's speciality is Advanced Practice Midwife with taxonomy code 367A00000X
The provider has more than 9 years of experience.
The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of May 03, 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 and Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $86.82 with an average copayment of $21.7 for new patient appointments. Established patients should expect a typical charge of $70.82 and an average copayment of 17.7. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on May 21, 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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