MS. MEGEN HANDLEY CRNP NPI 1336120146
Nurse Practitioner in St Marys, PA
About MS. MEGEN HANDLEY CRNP
Megen Handley is a provider established in St Marys, Pennsylvania and her medical specialization is Nurse Practitioner with more than 23 years of experience. The NPI number of this provider is 1336120146 and was assigned on November 2005. The practitioner's primary taxonomy code is 363L00000X with license number SP007940 (PA). The provider is registered as an individual and her NPI record was last updated 9 years ago.
| NPI | 1336120146 |
| Provider Name | MS. MEGEN HANDLEY CRNP |
| Location Address | 761 JOHNSONBURG RD SUITE 310 ST MARYS, PA 15857 |
| Location Phone | (814) 834-1686 |
| Mailing Address | 761 JOHNSONBURG RD SUITE 310 ST MARYS, PA 15857 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2000 |
| Is Sole Proprietor? | No |
| Enumeration Date | 11-09-2005 |
| Last Update Date | 03-04-2014 |
A nurse practitioner (NP) like Megen Handley 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.Megen Handley 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.
Megen Handley 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 Penn Highlands Dubois and Penn Highlands Elk.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 30.25, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: urinary incontinence: assessment of presence or absence of urinary incontinence in women aged 65 years and older.
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.99 for a new patient copayment and $25.4 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 Code | 363L00000X |
| Classification | Nurse Practitioner |
| Type | Physician Assistants & Advanced Practice Nursing Providers |
| License No. | SP007940 |
| License State | PA |
| 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. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
761 JOHNSONBURG RD
SUITE 310
ST MARYS, PA
ZIP 15857
Phone: (814) 834-1686
Fax: (814) 834-6291
Mailing Address
761 JOHNSONBURG RD
SUITE 310
ST MARYS, PA
ZIP 15857
Phone: (814) 834-1686
Fax: (814) 834-6291
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 ID | 3072744630 |
| PECOS Enrollment ID | I20140324001395 |
| 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 Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
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 15857 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 |
| $57.02 | $174.05 | $87.96 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.25 | $43.51 | $21.99 |
| 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 |
| $17.59 | $142.08 | $101.62 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.39 | $35.52 | $25.4 |
* 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.
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 55 | |
|
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | 0 | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 0 | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 30.25 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
Quality Reporting
The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older | 100% | 63 |
| Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months | ||
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 92Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- 37Administration of influenza virus vaccine (HCPCS:G0008)
- 21Administration of pneumococcal vaccine (HCPCS:G0009)
- 14Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
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. Megen Handley is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| PENN HIGHLANDS DUBOIS | 100 HOSPITAL AVENUE DUBOIS, PA 15801 | (814) 371-2200 | Acute Care Hospitals | 390086 | |
| PENN HIGHLANDS ELK | 763 JOHNSONBURG ROAD SAINT MARYS, PA 15857 | (814) 788-8000 | Critical Access Hospitals | 391315 |
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 |
|---|---|---|
| 073166 | MEDICARE ID-TYPE UNSPECIFIED (04) | |
| P97986 | MEDICARE UPIN (02) |
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 | 3 | 3 | 6 | 1 | 2 | 0 | 1 | 4 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 2 | 2 | 0 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 2 + 2 + 0 + 1 + 8 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1336120146 is valid because the calculated check digit 6 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.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740274729 | JOHN MICHAEL GORLOWSKI M.D. Individual | Pediatrics (Adolescent Medicine) | 761 JOHNSONBURG RD SUITE 360 ST MARYS, PA 15857 (814) 781-8677 |
| 1205823424 | ELK REGIONAL PROFESSIONAL GROUP, INC. Organization | Surgery | 761 JOHNSONBURG RD ERPG SPECIALTY SERVICES SAINT MARYS, PA 15857 (814) 788-8615 |
| 1205885944 | DR. DONALD HENRY RUDICK MD Individual | Specialist | 761 JOHNSONBURG RD SUITE 350 ST MARYS, PA 15857 (814) 781-8669 |
| 1699722231 | JOSEPH & SUBRAMANY, INC. Organization | Specialist | 761 JOHNSONBURG RD SUITE 130 ST MARYS, PA 15857 (814) 781-1188 |
| 1578628806 | LEI CHEN MD Individual | Obstetrics & Gynecology (Obstetrics) | 761 JOHNSONBURG RD ST MARYS, PA 15857 (814) 834-6139 |
| 1053509513 | TRI-COUNTY UROLOGY INC Organization | Urology | 761 JOHNSONBURG RD SUITE 350 SAINT MARYS, PA 15857 (814) 781-8669 |
| 1043477946 | JOHN M GORLOWSKI MD PC Organization | Pediatrics (Adolescent Medicine) | 761 JOHNSONBURG RD SUITE 360 SAINT MARYS, PA 15857 (814) 781-8677 |
| 1447231378 | DR. TED BRUBAKER ESHBACH M.D. Individual | Orthopaedic Surgery | 761 JOHNSONBURG RD SUITE 310 ST MARYS, PA 15857 (814) 834-1686 |
| 1609889583 | DAVID HOWARD JOHE MD Individual | Orthopaedic Surgery | 761 JOHNSONBURG RD SAINT MARYS, PA 15857 (814) 781-8655 |
| 1407858277 | ANNE M BREINDEL PA-C Individual | Physician Assistant (Medical) | 761 JOHNSONBURG RD SUITE 240 SAINT MARYS, PA 15857 (814) 834-6565 |
| 1861401424 | DR. STEVEN KOCH MD Individual | Obstetrics & Gynecology | 761 JOHNSONBURG RD SUITE 210 SAINT MARYS, PA 15857 (814) 788-8118 |
| 1124403035 | DUBOIS REGIONAL MEDICAL CENTER - PENN HIGHLANDS FAMILY MEDICINE Organization | Family Medicine | 761 JOHNSONBURG RD SUITE 240 SAINT MARYS, PA 15857 (814) 788-8183 |
| 1043687213 | DUBOIS REGIONAL MED CENTER - PENN HIGHLANDS FAMILY MED ST MARYS 94150 Organization | Family Medicine | 761 JOHNSONBURG RD SUITE 220 SAINT MARYS, PA 15857 (814) 834-2850 |
| 1831574375 | DUBOIS REGIONAL MEDICAL CENTER - PENN HIGHLANDS MEDICAL ARTS BLDG ELK Organization | Family Medicine | 761 JOHNSONBURG RD SAINT MARYS, PA 15857 (814) 371-2200 |
| 1952715914 | MRS. FRANCESCA WOELFEL PA-C Individual | Physician Assistant (Medical) | 761 JOHNSONBURG RD SUITE 240 SAINT MARYS, PA 15857 (814) 834-6565 |
| 1205849197 | MRS. ANDREA LEE INZANA PA-C Individual | Physician Assistant | 761 JOHNSONBURG RD SUITE 310 SAINT MARYS, PA 15857 (814) 834-1686 |
| 1700239068 | SARAH MEANS PA-C Individual | Physician Assistant | 761 JOHNSONBURG RD SUITE 210 SAINT MARYS, PA 15857 (814) 788-8118 |
| 1881870905 | DR. ANUJIT SINGH DO Individual | Internal Medicine | 761 JOHNSONBURG RD SUITE 220 SAINT MARYS, PA 15857 (814) 788-8184 |
| 1437693868 | MRS. NICOLE LYNN VILLELLA CRNP Individual | Nurse Practitioner | 761 JOHNSONBURG RD SAINT MARYS, PA 15857 (814) 788-8777 |
| 1922648724 | ERIN MARY MCMAHON CRNP Individual | Nurse Practitioner (Women's Health) | 761 JOHNSONBURG RD SAINT MARYS, PA 15857 (814) 788-8118 |
Frequently Asked Questions
What is Ms. Megen Handley CRNP NPI number?
The NPI number assigned to this healthcare provider is 1336120146, registered as an "individual" on November 09, 2005
Where is Ms. Megen Handley CRNP located?
The provider is located at 761 Johnsonburg Rd Suite 310 St Marys, Pa 15857 and the phone number is (814) 834-1686
Which is Ms. Megen Handley CRNP specialty?
The provider's speciality is Nurse Practitioner
How many years of experience does Ms. Megen Handley CRNP have?
The provider has more than 23 years of experience.
What insurance does Ms. Megen Handley CRNP accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Ms. Megen Handley CRNP registered in PECOS?
Yes, as of May 11, 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 Ms. Megen Handley CRNP?
Medicare beneficiaries should expect a typical cost of $87.96 with an average copayment of $21.99 for new patient appointments. Established patients should expect a typical charge of $101.62 and an average copayment of 25.4. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Ms. Megen Handley CRNP?
The most common procedures or services performed by this practitioner are: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Administration of influenza virus vaccine, Administration of pneumococcal vaccine and Aspiration and/or injection of large joint or joint capsule.
Is Ms. Megen Handley CRNP affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: PENN HIGHLANDS DUBOIS and PENN HIGHLANDS ELK. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Ms. Megen Handley CRNP was last updated on November 09, 2005. 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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