MRS. ELIZABETH MICA GILBERT
NPI 1235548322
Clinical Nurse Specialist in Middletown, OH

NPI Status: Active since August 04, 2014

Contact Information

1 MEDICAL CENTER DR
MIDDLETOWN, OH
ZIP 45005
Phone: (513) 705-4031
Fax: (513) 420-5005

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

Individual
Female
Clinical Nurse Specialist
PECOS Enrolled

About ELIZABETH GILBERT

This page provides the complete NPI Profile along with additional information for Elizabeth Gilbert, a provider established in Middletown, Ohio with a medical specialization in Clinical Nurse Specialist. The healthcare provider is registered in the NPI registry with number 1235548322 assigned on August 2014. The practitioner's primary taxonomy code is 364S00000X with license number RN.302957-COA1 (OH). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI: 1235548322
Provider Name: MRS. ELIZABETH MICA GILBERT
Gender: Female
Entity Type: Individual
Location Address: 1 MEDICAL CENTER DR MIDDLETOWN, OH 45005
Location Phone: (513) 705-4031
Location Fax: (513) 420-5005
Mailing Address: 1 MEDICAL CENTER DR MIDDLETOWN, OH 45005
Mailing Phone: (513) 705-4031
Mailing Fax: (513) 420-5005
Is Sole Proprietor?: Yes
Enumeration Date: 08-04-2014
Last Update Date: 08-04-2014
Code Navigator

A Clinical Nurse Specialist (CNS) like Elizabeth Gilbert is a type of advanced practice registered nurse (APRN) that provides direct patient care in various nursing specialties, including pediatrics or psychiatric-mental health. CNSs collaborate with other nurses and medical professionals to improve patient care quality. CNSs are often positioned in leadership roles where they may provide education and mentorship to other nursing personnel. Additionally, CNSs may also conduct research and advocate for certain healthcare policies.

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: Clinical Nurse Specialist
Taxonomy Code: 364S00000X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: RN.302957-COA1
License State: OH
Taxonomy Description: A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.

Medicare Participation & PECOS Enrollment Status

Elizabeth Gilbert 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 45005 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

Average New Patient Price $126.12
Minimum New Patient Price $54.34
Maximum New Patient Price $166.65

Average New Patient Copayment $31.53
Minimum New Patient Copayment $13.58
Maximum New Patient Copayment $41.66

Established Patients Visit Costs *

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

Average Established Patient Price $96.44
Minimum Established Patient Price $17.1
Maximum Established Patient Price $135.4

Average Established Patient Copayment $24.11
Minimum Established Patient Copayment $4.27
Maximum Established Patient Copayment $33.85

* 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	3	5	5	4	8	3	2	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	6	5	10	4	16	3	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 1 + 0 + 4 + 1 + 6 + 3 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2									2

The NPI number 1235548322 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.

MIDDLETOWN EMERGENCY PHYSICIANS, INC.

Emergency Medicine

1 MEDICAL CENTER DR
FRANKLIN, OH
ZIP 45005

About ELIZABETH GILBERT

Location Map

Specialty - Primary Taxonomy

Clinical Nurse Specialist

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 MRS. ELIZABETH MICA GILBERT

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is Elizabeth Gilbert's NPI number?

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