KRISTEN HEAPHY FNP
NPI 1255969770
Nurse Practitioner - Family in New York, NY

NPI Status: Active since March 30, 2020

Contact Information

1468 MADISON AVE
NEW YORK, NY
ZIP 10029
Phone: (212) 241-6500

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  • Individual
  • Female
  • Nurse Practitioner
  • Family
  • PECOS Enrolled

About KRISTEN HEAPHY

This page provides the complete NPI Profile along with additional information for Kristen Heaphy, a provider established in New York, New York with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1255969770 assigned on March 2020. The practitioner's primary taxonomy code is 363LF0000X with license number 345801 (NY). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1255969770
Provider Name
KRISTEN HEAPHY FNP
Gender
Female
Entity Type
Individual
Location Address
1468 MADISON AVE NEW YORK, NY 10029
Location Phone
(212) 241-6500
Mailing Address
41 STONEWALL FARM RD MAHOPAC, NY 10541
Mailing Phone
(914) 482-4133
Is Sole Proprietor?
No
Enumeration Date
03-30-2020
Last Update Date
03-30-2020
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A nurse practitioner (NP) like Kristen Heaphy 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

  • 41 Stonewall Farm Rd
    Mahopac, NY 10541
    (914) 482-4133

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 Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
345801
License State
NY

Medicare Participation & PECOS Enrollment Status

Kristen Heaphy 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 10029 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $102.04
  • Minimum New Patient Price $65.69
  • Maximum New Patient Price $198.19
  • Average New Patient Copayment $25.51
  • Minimum New Patient Copayment $16.42
  • Maximum New Patient Copayment $49.54

Established Patients Visit Costs *

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

  • Average Established Patient Price $114.88
  • Minimum Established Patient Price $21.2
  • Maximum Established Patient Price $160.66
  • Average Established Patient Copayment $28.72
  • Minimum Established Patient Copayment $5.3
  • Maximum Established Patient Copayment $40.16

* 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 1255969770, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
0
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 5 → 10 → 1 9 → 18 → 9 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 0 + 5 + 1 + 8 + 6 + 1 + 8 + 7 + 1 + 4 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1255969770.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Speech-Language Pathologist
1468 MADISON AVE, BOX 1241
NEW YORK, NY 10029
Physical Therapist
1468 MADISON AVE
NEW YORK, NY 10029
Physical Therapist
1468 MADISON AVE
NEW YORK, NY 10029
Occupational Therapist (Hand)
1468 MADISON AVE, MC LEVEL ROOM 201
NEW YORK, NY 10029
Clinical Neuropsychologist
1468 MADISON AVE, BOX 1241
NEW YORK, NY 10029
Physical Therapist
1468 MADISON AVE
NEW YORK, NY 10029
Occupational Therapist (Neurorehabilitation)
1468 MADISON AVE, MOUNT SINAI MEDICAL CENTER
NEW YORK, NY 10029
Anesthesiology
1468 MADISON AVE, KCC-8
NEW YORK, NY 10029
Nurse Practitioner (Adult Health)
1468 MADISON AVE, ROOM 721
NEW YORK, NY 10029
General Acute Care Hospital
1468 MADISON AVE
NEW YORK, NY 10029
Nurse Practitioner (Adult Health)
1468 MADISON AVE
NEW YORK, NY 10029
General Acute Care Hospital
1468 MADISON AVE
NEW YORK, NY 10029
Registered Nurse (Infection Control)
1468 MADISON AVE
NEW YORK, NY 10029
Nurse Practitioner (Gerontology)
1468 MADISON AVE
NEW YORK, NY 10029
Nurse Practitioner (Adult Health)
1468 MADISON AVE
NEW YORK, NY 10029
Clinic/Center (Occupational Medicine)
1468 MADISON AVE, 3RD FLOOR
NEW YORK, NY 10029
Nurse Practitioner (Family)
1468 MADISON AVE
NEW YORK, NY 10029
Pathology (Anatomic Pathology & Clinical Pathology)
1468 MADISON AVE, THE MOUNT SINAI HOSPITAL
NEW YORK, NY 10029
Clinical Neuropsychologist
1468 MADISON AVE, NEUROLOGY MHBB BOX 1052
NEW YORK, NY 10029

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255969770, enumerated as an "individual" on March 30, 2020.

The provider is located at 1468 MADISON AVE NEW YORK, NY 10029 and the phone number is (212) 241-6500.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.