MRS. TINA MARIE DEGROOT APNP
NPI 1346327392
Clinical Nurse Specialist - Adult Health in Stoughton, WI

NPI Status: Active since November 01, 2006

Contact Information

900 RIDGE ST
STOUGHTON, WI
ZIP 53589
Phone: (608) 873-6611

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  • Individual
  • Female
  • Clinical Nurse Specialist
  • Adult Health
  • Accepts Insurance
  • PECOS Enrolled

About TINA DEGROOT

This page provides the complete NPI Profile along with additional information for Tina Degroot, a provider established in Stoughton, Wisconsin with a medical specialization in Clinical Nurse Specialist, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1346327392 assigned on November 2006. The practitioner's primary taxonomy code is 364SA2200X with license number 3554-33 (WI). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1346327392
Provider Name
MRS. TINA MARIE DEGROOT APNP
Gender
Female
Entity Type
Individual
Location Address
900 RIDGE ST STOUGHTON, WI 53589
Location Phone
(608) 873-6611
Mailing Address
900 RIDGE ST STOUGHTON, WI 53589
Mailing Phone
(608) 873-6611
Is Sole Proprietor?
No
Enumeration Date
11-01-2006
Last Update Date
10-02-2024
Code Navigator

A Clinical Nurse Specialist (CNS) like Tina Degroot is a type of advanced practice registered nurse (APRN) that provides direct patient care in various nursing specialties, including pediatrics or psychiatric-mental health. CNSs collaborate with other nurses and medical professionals to improve patient care quality. CNSs are often positioned in leadership roles where they may provide education and mentorship to other nursing personnel. Additionally, CNSs may also conduct research and advocate for certain healthcare policies.

Location Map

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

Clinical Nurse Specialist Adult Health

Taxonomy Code
364SA2200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
3554-33
License State
WI

Insurance Plans Accepted

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

  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $10,150 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $10,150 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $10,600 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD $4,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $4,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $700 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $700 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER $8,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER $9,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $8,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $9,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING - HMO
  • QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $0 MEDICAL DED - HMO

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
38219400MEDICAID (05)WI 

Medicare Participation & PECOS Enrollment Status

Tina Degroot 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

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, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 19 times for 15 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 53589 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $123.69
  • Minimum New Patient Price $53.9
  • Maximum New Patient Price $163.24
  • Average New Patient Copayment $30.92
  • Minimum New Patient Copayment $13.47
  • Maximum New Patient Copayment $40.81

Established Patients Visit Costs *

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

  • Average Established Patient Price $95.41
  • Minimum Established Patient Price $17.4
  • Maximum Established Patient Price $133.76
  • Average Established Patient Copayment $23.85
  • Minimum Established Patient Copayment $4.35
  • Maximum Established Patient Copayment $33.44

* 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.

Reviews for MRS. TINA MARIE DEGROOT APNP

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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 1346327392, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
4
Doubled → 8
Pos 4
6
Unchanged
Pos 5
3
Doubled → 6
Pos 6
2
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
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 4 → 8 3 → 6 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 8 + 6 + 6 + 2 + 1 + 4 + 3 + 1 + 8 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1346327392.

Other Providers at the Same Location


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

Physical Therapist
900 RIDGE ST
STOUGHTON, WI 53589
Nurse Anesthetist, Certified Registered
900 RIDGE ST
STOUGHTON, WI 53589
Physical Therapist
900 RIDGE ST
STOUGHTON, WI 53589
Physical Therapist
900 RIDGE ST
STOUGHTON, WI 53589
Physical Therapist
900 RIDGE ST
STOUGHTON, WI 53589
Occupational Therapist
900 RIDGE ST
STOUGHTON, WI 53589
Physical Therapist
900 RIDGE ST
STOUGHTON, WI 53589
Physical Therapist
900 RIDGE ST
STOUGHTON, WI 53589
General Acute Care Hospital (Critical Access)
900 RIDGE ST
STOUGHTON, WI 53589
Physical Therapist
900 RIDGE ST
STOUGHTON, WI 53589
General Acute Care Hospital (Critical Access)
900 RIDGE ST
STOUGHTON, WI 53589
Orthopaedic Surgery (Sports Medicine)
900 RIDGE ST
STOUGHTON, WI 53589
Physical Therapy Assistant
900 RIDGE ST
STOUGHTON, WI 53589
Physical Therapist
900 RIDGE ST
STOUGHTON, WI 53589
Physical Therapy Assistant
900 RIDGE ST
STOUGHTON, WI 53589
Home Health
900 RIDGE ST
STOUGHTON, WI 53589
Psychiatric Unit
900 RIDGE ST
STOUGHTON, WI 53589
Medicare Defined Swing Bed Unit
900 RIDGE ST
STOUGHTON, WI 53589
Physician Assistant
900 RIDGE ST
STOUGHTON, WI 53589
Family Medicine
900 RIDGE ST, STOUGHTON HOSPITAL
STOUGHTON, WI 53589

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346327392, enumerated as an "individual" on November 01, 2006.

The provider is located at 900 RIDGE ST STOUGHTON, WI 53589 and the phone number is (608) 873-6611.

Clinical Nurse Specialist with taxonomy code 364SA2200X and a focus in Adult Health.

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