MS. MARY MORRIS ALEXANDER NURSE PRACTITIONER
NPI 1245395557
Nurse Practitioner - Pediatrics in Gastonia, NC
NPI Status: Active since December 27, 2006
Contact Information
705 SUMMIT CROSSING PL
GASTONIA, NC
ZIP 28054
Phone: (704) 671-6300
Fax: (704) 671-6307
- Individual
- Female
- Nurse Practitioner
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About MARY ALEXANDER
This page provides the complete NPI Profile along with additional information for Mary Alexander, a provider established in Gastonia, North Carolina with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1245395557 assigned on December 2006. The practitioner's primary taxonomy code is 363LP0200X with license number 300354 (NC). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1245395557
- Provider Name
- MS. MARY MORRIS ALEXANDER NURSE PRACTITIONER
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 705 SUMMIT CROSSING PL GASTONIA, NC 28054
- Location Phone
- (704) 671-6300
- Location Fax
- (704) 671-6307
- Mailing Address
- 705 SUMMIT CROSSING PL GASTONIA, NC 28054
- Mailing Phone
- (704) 671-6300
- Mailing Fax
- (704) 671-6307
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-27-2006
- Last Update Date
- 09-10-2010
- Code Navigator
A nurse practitioner (NP) like Mary Alexander 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
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 Pediatrics
- Taxonomy Code
- 363LP0200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 300354
- License State
- NC
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Mary Alexander 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 28054 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.9
- Minimum New Patient Price $54.12
- Maximum New Patient Price $165.09
- Average New Patient Copayment $20.97
- Minimum New Patient Copayment $13.53
- Maximum New Patient Copayment $41.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.94
- Minimum Established Patient Price $17.21
- Maximum Established Patient Price $134.61
- Average Established Patient Copayment $23.98
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.65
* 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. | |||||||||
| 1 | 2 | 4 | 5 | 3 | 9 | 5 | 5 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 6 | 9 | 10 | 5 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 6 + 9 + 1 + 0 + 5 + 1 + 0 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1245395557 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
MILDRED JAMES DRIGGERS PNP/NNP-C
Nurse Practitioner
(Pediatrics)
705 SUMMIT CROSSING PL
SUITE 150
GASTONIA, NC
ZIP 28054
CANDACE CHURCHWELL PETREE PNP-C
Nurse Practitioner
(Pediatrics)
705 SUMMIT CROSSING PL
GASTONIA, NC
ZIP 28054
MAURICIO SABOGAL D.O.
Pediatrics
705 SUMMIT CROSSING PL
SUITE 150
GASTONIA, NC
ZIP 28054
DR. ELLEN SATTERWHITE DAVIS MD
Pediatrics
705 SUMMIT CROSSING PL
SUITE 150
GASTONIA, NC
ZIP 28054
DR. GREGORY TODD MILROY M.D.
Pediatrics
705 SUMMIT CROSSING PL
SUITE 150
GASTONIA, NC
ZIP 28054
CAROMONT MEDICAL GROUP, INC.
Pediatrics
705 SUMMIT CROSSING PL
STE 150
GASTONIA, NC
ZIP 28054
MARTY ALLEN BAKER M.D.
Pediatrics
705 SUMMIT CROSSING PL
SUITE 150
GASTONIA, NC
ZIP 28054
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245395557, enumerated as an "individual" on December 27, 2006.
The provider is located at 705 SUMMIT CROSSING PL GASTONIA, NC 28054 and the phone number is (704) 671-6300.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
The provider might be accepting Accepts: Aetna CVS Health. Please consult your insurance carrier or call the provider to verify.
