MARIE ELAINE PETERS APN
NPI 1336705466
Nurse Practitioner - Women's Health in Washington, DC
NPI Status: Active since May 14, 2019
Contact Information
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC
ZIP 20037
Phone: (202) 741-2500
Fax: (202) 741-2550
- Individual
- Female
- Years of Experience 8
- Nurse Practitioner
- Women's Health
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About MARIE PETERS
This page provides the complete NPI Profile along with additional information for Marie Peters, a provider established in Washington, District Of Columbia with a medical specialization in Nurse Practitioner, focusing in women's health and more than 8 years of experience. She graduated from Vanderbilt University School Of Medicine in 2018. The healthcare provider is registered in the NPI registry with number 1336705466 assigned on May 2019. The practitioner's primary taxonomy code is 363LW0102X with license number APN0000025125 (TN). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1336705466
- Provider Name
- MARIE ELAINE PETERS APN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2150 PENNSYLVANIA AVE NW WASHINGTON, DC 20037
- Location Phone
- (202) 741-2500
- Location Fax
- (202) 741-2550
- Mailing Address
- 300 20TH AVE N STE 505 NASHVILLE, TN 37203
- Mailing Phone
- (615) 340-4655
- Mailing Fax
- (202) 741-2550
- Medical School Name
- VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 2018
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-14-2019
- Last Update Date
- 05-17-2023
- Code Navigator
A nurse practitioner (NP) like Marie Peters 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
- 300 20th Ave N Ste 505
Nashville, TN 37203
(615) 340-4655
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 Women's Health
- Taxonomy Code
- 363LW0102X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- APN0000025125
- License State
- TN
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Secure - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Simple Breathe Easy with Enhanced COPD Benefits - EPO
- Silver Simple Diabetes - EPO
- Silver Simple PCP Saver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Marie Peters is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Marie Peters 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
PECOS PAC ID: 5092172262
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20230601003186
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.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 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 typical physician office visit costs for Medicare beneficiaries in this area are: $25.07 for a new patient copayment and $28.43 for an established patient copayment.
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 20037 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $100.31
- Minimum New Patient Price $65.18
- Maximum New Patient Price $194.86
- Average New Patient Copayment $25.07
- Minimum New Patient Copayment $16.29
- Maximum New Patient Copayment $48.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $113.72
- Minimum Established Patient Price $21.4
- Maximum Established Patient Price $158.88
- Average Established Patient Copayment $28.43
- Minimum Established Patient Copayment $5.35
- Maximum Established Patient Copayment $39.72
* 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 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 | 7 | 0 | 5 | 4 | 6 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 6 | 6 | 14 | 0 | 10 | 4 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 6 + 6 + 1 + 4 + 0 + 1 + 0 + 4 + 1 + 2 + 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 1336705466 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.
DENISE JOHNSTONE MSN, CRNP
Nurse Practitioner
(Family)
2150 PENNSYLVANIA AVE NW
SUITE 10-412
WASHINGTON, DC
ZIP 20037
JANINE VAN LANCKER M.D.
Allergy & Immunology
2150 PENNSYLVANIA AVE NW
SUITE G-402
WASHINGTON, DC
ZIP 20037
DR. ROBERT SHESSER MD
Emergency Medicine
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC
ZIP 20037
DR. KENYON KEITH KRAMER M.D.
Ophthalmology
2150 PENNSYLVANIA AVE NW
ST 2A
WASHINGTON, DC
ZIP 20037
DR. CHARLES JOHN MACRI MD
Obstetrics & Gynecology
(Maternal & Fetal Medicine)
2150 PENNSYLVANIA AVE NW
STE 10-409A
WASHINGTON, DC
ZIP 20037
DR. JOHN HENRY GROSSMAN III MD
Obstetrics & Gynecology
2150 PENNSYLVANIA AVE NW
MEDICAL FACULTY ASSOCIATES INC
WASHINGTON, DC
ZIP 20037
DR. NANCY D GABA MD
Obstetrics & Gynecology
2150 PENNSYLVANIA AVE NW
MEDICAL FACULTY ASSOCIATES INC
WASHINGTON, DC
ZIP 20037
BRUCE ABELL MD
Surgery
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC
ZIP 20037
DR. SUSANNE BATHGATE MD
Obstetrics & Gynecology
(Maternal & Fetal Medicine)
2150 PENNSYLVANIA AVE NW
MEDICAL FACULTY ASSOCIATES INC
WASHINGTON, DC
ZIP 20037
JAMES AHLGREN MD
Internal Medicine
(Hematology & Oncology)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC
ZIP 20037
DR. PAUL RICHARD GINDOFF MD
Obstetrics & Gynecology
2150 PENNSYLVANIA AVE NW
6A
WASHINGTON, DC
ZIP 20037
DR. PENDLETON EDMUND ALEXANDER MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2150 PENNSYLVANIA AVE NW
6B
WASHINGTON, DC
ZIP 20037
MS. BARRIE M SEIDMAN MSW
Social Worker
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC
ZIP 20037
DR. LYNNE M GABY MD
Psychiatry & Neurology
(Psychiatry)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC
ZIP 20037
DR. DAVID REISS MD
Psychiatry & Neurology
(Psychiatry)
2150 PENNSYLVANIA AVE NW
8TH FLOOR
WASHINGTON, DC
ZIP 20037
DR. JULIA BESS FRANK MD
Psychiatry & Neurology
(Pain Medicine)
2150 PENNSYLVANIA AVE NW
8TH FLOOR
WASHINGTON, DC
ZIP 20037
DR. JAMES D MICHELSON MD
Orthopaedic Surgery
2150 PENNSYLVANIA AVE NW
7TH FLOOR
WASHINGTON, DC
ZIP 20037
FRANCISCO MANUEL IRIANNI MD
Obstetrics & Gynecology
(Reproductive Endocrinology)
2150 PENNSYLVANIA AVE NW
6A
WASHINGTON, DC
ZIP 20037
DR. ANTHONY J. CAPUTY MD
Neurological Surgery
2150 PENNSYLVANIA AVE NW
7TH FLOOR
WASHINGTON, DC
ZIP 20037
MS. MARGARET FIORE NP
Nurse Practitioner
2150 PENNSYLVANIA AVE NW
7TH FLOOR
WASHINGTON, DC
ZIP 20037
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336705466, enumerated as an "individual" on May 14, 2019.
The provider is located at 2150 PENNSYLVANIA AVE NW WASHINGTON, DC 20037 and the phone number is (202) 741-2500.
Nurse Practitioner with taxonomy code 363LW0102X and a focus in Women's Health.
The provider might be accepting Accepts: Oscar Insurance Company. Please consult your insurance carrier or call the provider to verify.