JENNIFER A NIEDERSTADT NP NPI 1265655732

Nurse Practitioner in Racine, WI

NPI 1265655732 Individual Female Years of Experience 21 Nurse Practitioner PECOS Enrolled Accepts Medicare Approved Payment

NPI Profile for JENNIFER A NIEDERSTADT NP

Jennifer Niederstadt is a provider established in Racine, Wisconsin and her medical specialization is nurse practitioner with more than 21 years of experience. The NPI number of Jennifer Niederstadt is 1265655732 and was assigned on April 2007. The practitioner's primary taxonomy code is 363L00000X with license number 2059-033 (WI). The provider is registered as an individual and her NPI record was last updated 12 years ago.

A nurse practitioner (NP) like Jennifer A Niederstadt Np 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.

Jennifer Niederstadt 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.

Jennifer Niederstadt is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Waukesha Memorial Hospital.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.4 for a new patient copayment and $24.86 for an established patient copayment.

NPI

1265655732

Provider Name JENNIFER A NIEDERSTADT NP
Provider Location Address3803 SPRING ST SUITE 410 RACINE, WI 53405
Provider Mailing Address3803 SPRING ST SUITE 410 RACINE, WI 53405
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2002
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date04-11-2007
Last Update Date09-08-2010


Primary Taxonomy

Taxonomy Code363L00000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.2059-033
License StateWI
Taxonomy Description(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Business Address

JENNIFER A NIEDERSTADT NP
3803 SPRING ST
SUITE 410
RACINE, WI
ZIP 53405
Phone: (262) 687-8260
Fax: (262) 687-8729

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Mailing Address

JENNIFER A NIEDERSTADT NP
3803 SPRING ST
SUITE 410
RACINE, WI
ZIP 53405
Phone: (262) 687-8260
Fax: (262) 687-8729



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID7012015399
PECOS Enrollment IDI20070611000232
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 order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 53405 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$55.63 $169.16 $85.6
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.9 $42.29 $21.4
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.46 $138.8 $99.45
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.36 $34.7 $24.86

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jennifer Niederstadt is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
WAUKESHA MEMORIAL HOSPITAL725 AMERICAN AVE
WAUKESHA, WI 53188
(262) 928-1000Acute Care Hospitals520008

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
43999000MEDICAID (05)WI

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1265655732
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221251251076
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 2 + 5 + 1 + 0 + 7 + 6 + 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 = 22

The NPI number 1265655732 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 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447276712 DESIREE DIZADJI MD
Individual
Internal Medicine (Cardiovascular Disease)3803 SPRING ST SUITE 410
RACINE, WI 53405
(262) 687-8260
1841211950 NICHOLAS OMDAHL MD
Individual
Internal Medicine (Pulmonary Disease)3803 SPRING ST SUITE 600
RACINE, WI 53405
(262) 687-8312
1609898071 STEVEN JOHNSON MD
Individual
Internal Medicine (Pulmonary Disease)3803 SPRING ST SUITE 600
RACINE, WI 53405
(262) 687-8312
1346264223 HOWARD W. SHORT M.D.
Individual
Internal Medicine (Cardiovascular Disease)3803 SPRING ST SUITE 410
RACINE, WI 53405
(262) 687-8260
1851301675 JAMES TIERNEY MD
Individual
Internal Medicine (Cardiovascular Disease)3803 SPRING ST SUITE 410
RACINE, WI 53405
(262) 687-8260
1841200383 KAYE-EILEEN WILLARD MD
Individual
Internal Medicine3803 SPRING ST SUITE 410
RACINE, WI 53405
(262) 687-8260
1316957491 SUZANA ZAMECNIK NP
Individual
Nurse Practitioner3803 SPRING ST SUITE 410
RACINE, WI 53405
(262) 687-8260
1194972711 GRACE SERRANO DAMROW APNP
Individual
Nurse Practitioner (Acute Care)3803 SPRING ST SUITE 600
RACINE, WI 53405
(262) 687-8312
1417136409 LIPING XIE MD
Individual
Internal Medicine (Nephrology)3803 SPRING ST SUITE 600
MOUNT PLEASANT, WI 53405
(262) 687-8340
1710051271DR. MICHAEL L. PAPP D.O.
Individual
Internal Medicine (Cardiovascular Disease)3803 SPRING ST
RACINE, WI 53405
(262) 687-3973
1467898288MS. LESLIE C SHAW ACNP-BC
Individual
Nurse Practitioner (Acute Care)3803 SPRING ST
MOUNT PLEASANT, WI 53405
(262) 687-8260
1770643363 SHARIFF ATTAYA MD
Individual
Internal Medicine (Clinical Cardiac Electrophysiology)3803 SPRING ST SUITE 400
MOUNT PLEASANT, WI 53405
(262) 687-8208
1033303532 RAVI K. MAREEDU M.D.
Individual
Internal Medicine (Interventional Cardiology)3803 SPRING ST
MOUNT PLEASANT, WI 53405
(262) 687-8260
1245253764 BILLIE A LAWLER APNP
Individual
Nurse Practitioner (Acute Care)3803 SPRING ST
MOUNT PLEASANT, WI 53405
(262) 687-6260
1508318569 MELISSA MILNE DNP, FNP
Individual
Nurse Practitioner (Family)3803 SPRING ST
MOUNT PLEASANT, WI 53405
(262) 687-3577
1417612326 GINA MARIE LABELLARTE PA-C
Individual
Physician Assistant3803 SPRING ST
MOUNT PLEASANT, WI 53405
(126) 268-7401
1508896671 IFTEKHAR BADER M.D.
Individual
Internal Medicine (Pulmonary Disease)3803 SPRING ST STE 600
RACINE, WI 53405
(262) 687-8312

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Jennifer A Niederstadt Np is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.