ANNA M BUNCH NPP
NPI 1336149459
Nurse Practitioner in Willimantic, CT

NPI Status: Active since July 29, 2005

Contact Information

112 MANSFIELD AVE
WILLIMANTIC, CT
ZIP 06226
Phone: (860) 456-6994

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  • Individual
  • Female
  • Nurse Practitioner
  • PECOS Enrolled
  • Medicare Quality Reporting

About ANNA BUNCH

This page provides the complete NPI Profile along with additional information for Anna Bunch, a provider established in Willimantic, Connecticut with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1336149459 assigned on July 2005. The practitioner's primary taxonomy code is 363L00000X with license number 9670 (CT). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1336149459
Provider Name
ANNA M BUNCH NPP
Gender
Female
Entity Type
Individual
Location Address
112 MANSFIELD AVE WILLIMANTIC, CT 06226
Location Phone
(860) 456-6994
Mailing Address
825 CHALKSTONE AVE N. CAMPUS BUSINESS OFFICE PROVIDENCE, RI 02908
Mailing Phone
(401) 456-2525
Mailing Fax
Is Sole Proprietor?
Yes
Enumeration Date
07-29-2005
Last Update Date
05-18-2021
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A nurse practitioner (NP) like Anna Bunch 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

  • 360 Kingstown Rd Suite 108
    Narragansett, RI 02882
    (401) 789-1086

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

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
9670
License State
CT
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.

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)
1363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

NPPP32448 (RI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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
NPP32448OTHER (01)RILICENSE NUMBER

Medicare Participation & PECOS Enrollment Status

Anna Bunch 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

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE001N)

    Tubing with integrated heating element for use with positive airway pressure device (HCPCS:A4604)

    7 DME suppliers used 98 Medicare Claims 98 Services Paid

  • DME-Other DME (DE001N)

    Full face mask used with positive airway pressure device, each (HCPCS:A7030)

    7 DME suppliers used 51 Medicare Claims 51 Services Paid

  • DME-Other DME (DE001N)

    Face mask interface, replacement for full face mask, each (HCPCS:A7031)

    6 DME suppliers used 46 Medicare Claims 102 Services Paid

  • DME-Other DME (DE001N)

    Cushion for use on nasal mask interface, replacement only, each (HCPCS:A7032)

    4 DME suppliers used 24 Medicare Claims 124 Services Paid

  • DME-Other DME (DE001N)

    Pillow for use on nasal cannula type interface, replacement only, pair (HCPCS:A7033)

    3 DME suppliers used 24 Medicare Claims 127 Services Paid

  • DME-Other DME (DE001N)

    Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap (HCPCS:A7034)

    6 DME suppliers used 59 Medicare Claims 59 Services Paid

  • DME-Other DME (DE001N)

    Headgear used with positive airway pressure device (HCPCS:A7035)

    8 DME suppliers used 72 Medicare Claims 72 Services Paid

  • DME-Other DME (DE001N)

    Filter, disposable, used with positive airway pressure device (HCPCS:A7038)

    8 DME suppliers used 101 Medicare Claims 595 Services Paid

  • DME-Other DME (DE001N)

    Water chamber for humidifier, used with positive airway pressure device, replacement, each (HCPCS:A7046)

    7 DME suppliers used 28 Medicare Claims 28 Services Paid

  • DME-Other DME (DE001N)

    Humidifier, heated, used with positive airway pressure device (HCPCS:E0562)

    2 DME suppliers used 98 Medicare Claims 98 Services Paid

  • DME-Other DME (DE001N)

    Continuous positive airway pressure (cpap) device (HCPCS:E0601)

    4 DME suppliers used 130 Medicare Claims 130 Services Paid

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, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 17 times for 16 patients

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 101 times for 85 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 29 times for 29 patients

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 06226 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $93.86
  • Minimum New Patient Price $60.82
  • Maximum New Patient Price $183.1
  • Average New Patient Copayment $23.46
  • Minimum New Patient Copayment $15.2
  • Maximum New Patient Copayment $45.77

Established Patients Visit Costs *

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

  • Average Established Patient Price $106.68
  • Minimum Established Patient Price $19.76
  • Maximum Established Patient Price $149.26
  • Average Established Patient Copayment $26.67
  • Minimum Established Patient Copayment $4.94
  • Maximum Established Patient Copayment $37.31

* 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.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. 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
Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation 81% 340
Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented
Documentation of Current Medications in the Medical Record 76% 2099
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
Pneumococcal Vaccination Status for Older Adults 50% 659
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 58% 1410
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 45% 66
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
TCPI ParticipationYesN/A
Participation in the CMS Transforming Clinical Practice Initiative
Tobacco useYesN/A
Tobacco use: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including tobacco use screening and cessation interventions (refer to NQF #0028) for patients with co-occurring conditions of behavioral or mental health and at risk factors for tobacco dependence.

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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 1336149459, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 6 + 6 + 2 + 4 + 1 + 8 + 4 + 1 + 0 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1336149459.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Pulmonary Disease)
112 MANSFIELD AVE, PULMONARY DISEASE DIVISION, HATCH WING
WILLIMANTIC, CT 06226
Physician Assistant
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Pathology (Anatomic Pathology & Clinical Pathology)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Pathology (Anatomic Pathology & Clinical Pathology)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Emergency Medicine
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Internal Medicine
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Emergency Medicine
112 MANSFIELD AVE, WINDHAM HOSPITAL
WILLIMANTIC, CT 06226
Internal Medicine (Cardiovascular Disease)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Emergency Medicine
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Emergency Medicine
112 MANSFIELD AVE, WINDHAM HOSPITAL
WILLIAMANTIC, CT 06226
Emergency Medicine
112 MANSFIELD AVE, WINDHAM HOSPITAL EMERGENCY DEPT
WILLIMANTIC, CT 06226
Anesthesiology
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Pathology (Anatomic Pathology & Clinical Pathology)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Nurse Anesthetist, Certified Registered
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Internal Medicine
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Dietitian, Registered
112 MANSFIELD AVE, NUTRITION SERVICES DEPT
WILLIMANTIC, CT 06226
Emergency Medicine
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
General Acute Care Hospital
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
General Acute Care Hospital
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Nurse Practitioner
112 MANSFIELD AVE
WILLIMANTIC, CT 06226

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336149459, enumerated as an "individual" on July 29, 2005.

The provider is located at 112 MANSFIELD AVE WILLIMANTIC, CT 06226 and the phone number is (860) 456-6994.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.