STEPHANIE JALLEN MD
NPI 1245541895
Psychiatry & Neurology - Child & Adolescent Psychiatry in Bismarck, ND
NPI Status: Active since June 29, 2010
Contact Information
900 E BROADWAY AVE
BISMARCK, ND
ZIP 58501
Phone: (701) 530-7300
- Individual
- Female
- Years of Experience 16
- Psychiatry & Neurology
- Child & Adolescent Psychiatry
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About STEPHANIE JALLEN
This page provides the complete NPI Profile along with additional information for Stephanie Jallen, a provider established in Bismarck, North Dakota with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry and more than 16 years of experience. She graduated from University Of North Dakota School Of Medicine in 2010. The healthcare provider is registered in the NPI registry with number 1245541895 assigned on June 2010. The practitioner's primary taxonomy code is 2084P0804X with license number 13695 (ND). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1245541895
- Provider Name
- STEPHANIE JALLEN MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 900 E BROADWAY AVE BISMARCK, ND 58501
- Location Phone
- (701) 530-7300
- Mailing Address
- PO BOX 997 BISMARCK, ND 58502
- Medical School Name
- UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
- Graduation Year
- 2010
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-29-2010
- Last Update Date
- 09-11-2015
- Code Navigator
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
Psychiatry & Neurology Child & Adolescent Psychiatry
- Taxonomy Code
- 2084P0804X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 13695
- License State
- ND
- Taxonomy Description
- Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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 | 2084P0804X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | ME116874 (FL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Gold $25 PCP Copay ($5 Value Based Drug List) - PPO
- BlueCare Silver $45 PCP Copay ($5 Value Based Drug List) - PPO
- BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
- BlueEssential Catastrophic 100 $9200 Deductible - PPO
- BlueValue Bronze $50 PCP Copay (Standardized plan) - PPO
- BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
- BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
- DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO
- Altru Prime by Medica Bronze $0 Copay PCP Visits - HMO
- Altru Prime by Medica Bronze Share - HMO
- Altru Prime by Medica Expanded Bronze Standard - HMO
- Altru Prime by Medica Gold $0 Copay PCP Visits - HMO
- Altru Prime by Medica Gold Share - HMO
- Altru Prime by Medica Gold Standard - HMO
- Altru Prime by Medica Silver $0 Copay PCP Visits - HMO
- Altru Prime by Medica Silver Share - HMO
- Altru Prime by Medica Silver Standard - HMO
- Essentia Choice Care with Medica Bronze $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Bronze Share - HMO
- Essentia Choice Care with Medica Expanded Bronze Standard - HMO
- Essentia Choice Care with Medica Gold $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Gold Share - HMO
- Essentia Choice Care with Medica Gold Standard - HMO
- Essentia Choice Care with Medica Silver $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Silver Share - HMO
- Essentia Choice Care with Medica Silver Standard - HMO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,000 - PPO
- Sanford Individual Simplicity $7,100 HSA Qualified - PPO
- Sanford Individual Simplicity $9,200 - PPO
- Sanford Individual Simplicity Standardized $1,500 - PPO
- Sanford Individual Simplicity Standardized $5,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
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 |
---|---|---|---|
81891 | MEDICAID (05) | ND | |
N721617 | MEDICARE PIN (08) | ND |
Medicare Participation & PECOS Enrollment Status
Stephanie Jallen 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.
Stephanie Jallen 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: 7810126562
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: I20150903002560
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 58 times for 16 patientsReviews for STEPHANIE JALLEN MD
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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 | 5 | 4 | 1 | 8 | 9 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 8 | 5 | 10 | 4 | 2 | 8 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 8 + 5 + 1 + 0 + 4 + 2 + 8 + 1 + 8 + 24 = 65 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 65 = 5 | 5 |
The NPI number 1245541895 is valid because the calculated check digit 5 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.
DR. SANDRA LYNN MONGER PHARMD
Pharmacist
900 E BROADWAY AVE
BISMARCK, ND
ZIP 58501
DOROTHY JEAN SANDER R.PH.
Pharmacist
900 E BROADWAY AVE
BISMARCK, ND
ZIP 58501
MR. DENNIS FRED DELABARRE R.PH.
Pharmacist
900 E BROADWAY AVE
BISMARCK, ND
ZIP 58501
DR. CHAD ALLEN PORSBORG PHARM.D.
Pharmacist
900 E BROADWAY AVE
BISMARCK, ND
ZIP 58501
MRS. CHRISTINE ANN STAAB C.R.PH TECH
Pharmacy Technician
900 E BROADWAY AVE
INPATIENT PHARMACY
BISMARCK, ND
ZIP 58501
BERNADETTE H BEHM PHARMD
Pharmacist
900 E BROADWAY AVE
BISMARCK, ND
ZIP 58501
HEATHER A FREITAG CRNA
Nurse Anesthetist, Certified Registered
900 E BROADWAY AVE
BISMARCK, ND
ZIP 58501
CENTRAL DAKOTA RADIOLOGISTS PC
Radiology
(Diagnostic Radiology)
900 E BROADWAY AVE
BISMARCK, ND
ZIP 58501
JESSE LEE BREIDENBACH PHARM D
Pharmacist
900 E BROADWAY AVE
HOME INFUSION
BISMARCK, ND
ZIP 58501
SAMUEL DAVID AADNES PHARMD
Pharmacist
900 E BROADWAY AVE
BISMARCK, ND
ZIP 58501
NICOLE MARIE BOUSTEAD PHARM.D
Pharmacist
900 E BROADWAY AVE
BISMARCK, ND
ZIP 58501
MS. DAWN LYNN HERTZ PHARMD
Pharmacist
900 E BROADWAY AVE
BISMARCK, ND
ZIP 58501
DEBRA J HOUDEK PA-C
Physician Assistant
900 E BROADWAY AVE
BISMARCK, ND
ZIP 58501
KENTON THOMAS OMVIG PHARM.D.
Pharmacist
900 E BROADWAY AVE
BISMARCK, ND
ZIP 58501
JOAN DIANE JOHNSON RPH
Pharmacist
900 E BROADWAY AVE
BISMARCK, ND
ZIP 58501
MRS. JENNIFER RAYE MURPHY PHARMD
Pharmacist
900 E BROADWAY AVE
BISMARCK, ND
ZIP 58501
MRS. ALLISON ELIZABETH GERMOLUS R.PH.
Pharmacist
900 E BROADWAY AVE
BISMARCK, ND
ZIP 58501
LESLIE M RAINWATER MD
Urology
900 E BROADWAY AVE
BISMARCK, ND
ZIP 58501
TERRY M JOHNSON MD
Psychiatry & Neurology
(Psychiatry)
900 E BROADWAY AVE
BISMARCK, ND
ZIP 58501
DR. DEBRA JOHNSON MCPHERSON
Pharmacist
900 E BROADWAY AVE
BISMARCK, ND
ZIP 58501
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245541895, enumerated as an "individual" on June 29, 2010.
The provider is located at 900 E BROADWAY AVE BISMARCK, ND 58501 and the phone number is (701) 530-7300.
Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.
The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota, Medica,. Please consult your insurance carrier or call the provider to verify.