ASHTON MARYEDITH HARDEN NP-C NPI 1265940191
Nurse Practitioner - Family in Warrior, AL

About ASHTON MARYEDITH HARDEN NP-C

Ashton Harden is a provider established in Warrior, Alabama and her medical specialization is Nurse Practitioner with a focus in family with more than 7 years of experience. The NPI number of this provider is 1265940191 and was assigned on January 2018. The practitioner's primary taxonomy code is 363LF0000X with license number 1-137556 (AL). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1265940191
Provider Name ASHTON MARYEDITH HARDEN NP-C
Location Address1189 ALLBRITTON RD WARRIOR, AL 35180
Location Phone(205) 244-3480
Mailing Address501 COUNTY ROAD 1467 CULLMAN, AL 35055
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2017
Is Sole Proprietor?No
Enumeration Date01-12-2018
Last Update Date01-12-2018

A nurse practitioner (NP) like Ashton Harden 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.Ashton Harden 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.

Ashton Harden 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.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.48 for a new patient copayment and $24.83 for an established patient copayment.



Primary Taxonomy

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.

Taxonomy Code363LF0000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily
License No.1-137556
License StateAL

Business Address

1189 ALLBRITTON RD
WARRIOR, AL
ZIP 35180
Phone: (205) 244-3480
Fax: (205) 244-3484

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Mailing Address

501 COUNTY ROAD 1467
CULLMAN, AL
ZIP 35055
Phone: (205) 544-9744


Location Map

PECOS Enrollment and Medicare Participation Status

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 ID2860891405
PECOS Enrollment IDI20210601002382
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 35180 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
$55.54 $170.61 $85.95
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.88 $42.65 $21.48
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
$16.93 $139.08 $99.33
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.23 $34.77 $24.83

* 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.

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.
1265940191
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221251840118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 8 + 4 + 0 + 1 + 1 + 8 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1265940191 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265512834DR. MICHAEL WAYNE WILKERSON MD
Individual
Internal Medicine (Addiction Medicine)1189 ALLBRITTON RD
WARRIOR, AL 35180
(205) 907-3013
1407065741ADDICTION & MENTAL HEALTH SVCS INC
Organization
Pharmacy (Institutional Pharmacy)1189 ALLBRITTON RD
WARRIOR, AL 35180
(205) 244-2960
1821264953ADDICTION & MENTAL HEALTH SERVICES INC
Organization
Special Hospital1189 ALLBRITTON RD
WARRIOR, AL 35180
(205) 244-2960
1568972602 DAPHNE DRENNEN LPC
Individual
Counselor (Professional)1189 ALLBRITTON RD
WARRIOR, AL 35180
(205) 244-2960
1265580534ADDICTION & MENTAL HEALTH SERVICES, LLC
Organization
Substance Abuse Rehabilitation Facility1189 ALLBRITTON RD
WARRIOR, AL 35180
(205) 244-2960
1528525763MS. ERIN BROOKE JONES
Individual
Counselor (Addiction (Substance Use Disorder))1189 ALLBRITTON RD
WARRIOR, AL 35180
(205) 244-3502
1508428111WARRIOR REHAB AND WELLNESS LLC
Organization
Clinic/Center (Physical Therapy)1189 ALLBRITTON RD
WARRIOR, AL 35180
(205) 478-4418
1932707536 BRAD H SOKAL PHD
Individual
Clinical Neuropsychologist1189 ALLBRITTON RD
WARRIOR, AL 35180
(205) 244-2960
1770942443 MARGARET DUDA TRAWICK PA
Individual
Physician Assistant (Surgical)1189 ALLBRITTON RD
WARRIOR, AL 35180
(205) 244-2960
1689370694 OCTAVIA STRIBLING SCOTT NURSE PRACTITIONER
Individual
Nurse Practitioner (Family)1189 ALLBRITTON RD
WARRIOR, AL 35180
(205) 946-4580

Frequently Asked Questions

What is Ashton Harden NP-C NPI number?

The NPI number assigned to this healthcare provider is 1265940191, registered as an "individual" on January 12, 2018

Where is the provider located?

The provider is located at 1189 Allbritton Rd Warrior, Al 35180 and the phone number is (205) 244-3480

What is the provider specialty code?

The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

How many years of experience does Ashton Harden NP-C have?

The provider has more than 7 years of experience.

Is Ashton Harden NP-C registered in PECOS?

Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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.

How much is a visit to Ashton Harden NP-C?

Medicare beneficiaries should expect a typical cost of $85.95 with an average copayment of $21.48 for new patient appointments. Established patients should expect a typical charge of $99.33 and an average copayment of 24.83. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Ashton Harden NP-C was last updated on January 12, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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