DOUGLAS EUGENE NEWSON NNP
NPI 1235219874
Nurse Practitioner - Neonatal in Columbia, MO
NPI Status: Active since October 17, 2006
Contact Information
1021 HITT ST
COLUMBIA, MO
ZIP 65212
Phone: (573) 882-2272
Fax: (573) 884-1795
- Individual
- Male
- Nurse Practitioner
- Neonatal
- Accepts Insurance
- PECOS Enrolled
About DOUGLAS NEWSON
This page provides the complete NPI Profile along with additional information for Douglas Newson, a provider established in Columbia, Missouri with a medical specialization in Nurse Practitioner, focusing in neonatal . The healthcare provider is registered in the NPI registry with number 1235219874 assigned on October 2006. The practitioner's primary taxonomy code is 363LN0000X with license number 2006016795 (MO). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1235219874
- Provider Name
- DOUGLAS EUGENE NEWSON NNP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1021 HITT ST COLUMBIA, MO 65212
- Location Phone
- (573) 882-2272
- Location Fax
- (573) 884-1795
- Mailing Address
- PO BOX 843966 KANSAS CITY, MO 64184
- Mailing Phone
- (573) 884-3300
- Mailing Fax
- (573) 884-1795
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-17-2006
- Last Update Date
- 04-17-2025
- Code Navigator
A nurse practitioner (NP) like Douglas Newson 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
Secondary Locations
- 10500 Quivira Rd
Overland Park, KS 66215
(913) 541-5275
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 Neonatal
- Taxonomy Code
- 363LN0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 2006016795
- License State
- MO
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 | 363LN0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 45860 (KS) |
| 2 | 363LN0005X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 2006016795 (MO) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue KC Catastrophic BlueSelect EPO - EPO
- Blue KC Choice Bronze 2 with Spira Care BlueSelect EPO - EPO
- Blue KC Choice Silver 1 with Spira Care BlueSelect EPO - EPO
- Blue KC Community Silver Preferred-Care Blue EPO - EPO
- Blue KC First Bronze Preferred-Care Blue EPO - EPO
- Blue KC Standard Bronze BlueSelect EPO - EPO
- Blue KC Standard Bronze Preferred-Care Blue EPO - EPO
- Blue KC Standard Gold BlueSelect EPO - EPO
- Blue KC Standard Gold Preferred-Care Blue EPO - EPO
- Blue KC Standard Silver BlueSelect EPO - EPO
- Blue KC Standard Silver Preferred-Care Blue EPO - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Douglas Newson 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: Durable Medical Equipment (DME) 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: No
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: 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 65212 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.64
- Minimum New Patient Price $52.28
- Maximum New Patient Price $161.24
- Average New Patient Copayment $20.41
- Minimum New Patient Copayment $13.07
- Maximum New Patient Copayment $40.31
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.24
- Minimum Established Patient Price $16.3
- Maximum Established Patient Price $131.05
- Average Established Patient Copayment $23.31
- Minimum Established Patient Copayment $4.07
- Maximum Established Patient Copayment $32.76
* 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 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 1235219874, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
COLUMBIA, MO 65212
COLUMBIA, MO 65212
COLUMBIA, MO 65212
COLUMBIA, MO 65212
COLUMBIA, MO 65212
COLUMBIA, MO 65212
COLUMBIA, MO 65212
COLUMBIA, MO 65212
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235219874, enumerated as an "individual" on October 17, 2006.
The provider is located at 1021 HITT ST COLUMBIA, MO 65212 and the phone number is (573) 882-2272.
Nurse Practitioner with taxonomy code 363LN0000X and a focus in Neonatal.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas City. Please consult your insurance carrier or call the provider to verify.
