MR. SEAN MICHAEL APPLE CAA
NPI 1356901060
Anesthesiologist Assistant in Springfield, MO
NPI Status: Active since June 14, 2019
Contact Information
3801 S NATIONAL AVE
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 269-6000
- Individual
- Male
- Years of Experience 7
- Anesthesiologist Assistant
- Accepts Medicare Approved Payment
About SEAN APPLE
This page provides the complete NPI Profile along with additional information for Sean Apple, a provider established in Springfield, Missouri with a medical specialization in Anesthesiologist Assistant and more than 7 years of experience. He graduated from University Of Missouri, Kansas City, School Of Medicine in 2019. The healthcare provider is registered in the NPI registry with number 1356901060 assigned on June 2019. The practitioner's primary taxonomy code is 367H00000X. The provider is registered as an individual and his NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1356901060
- Provider Name
- MR. SEAN MICHAEL APPLE CAA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3801 S NATIONAL AVE SPRINGFIELD, MO 65807
- Location Phone
- (417) 269-6000
- Mailing Address
- 1000 E PRIMROSE ST STE 520 SPRINGFIELD, MO 65807
- Mailing Phone
- (417) 269-4550
- Medical School Name
- UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
- Graduation Year
- 2019
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-14-2019
- Last Update Date
- 07-09-2019
- Code Navigator
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
Anesthesiologist Assistant
- Taxonomy Code
- 367H00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Medicare Participation & PECOS Enrollment Status
Sean Apple 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.
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.
PECOS PAC ID: 5698000222
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: I20190718000744
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.
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.
Anesthesia for procedure for total knee joint replacement
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
This service was performed 11 times for 11 patientsFind Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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. Sean Apple is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| COX MEDICAL CENTERS | 3801 SOUTH NATIONAL AVENUE SPRINGFIELD, MO 65807 | (417) 269-6000 | Acute Care Hospitals |
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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 1356901060, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SPRINGFIELD, MO 65807
SPRINGFIELD, MO 65807
SPRINGFIELD, MO 65807
SPRINGFIELD, MO 65807
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356901060, enumerated as an "individual" on June 14, 2019.
The provider is located at 3801 S NATIONAL AVE SPRINGFIELD, MO 65807 and the phone number is (417) 269-6000.
Anesthesiologist Assistant with taxonomy code 367H00000X.
Sean Apple is affiliated with: COX MEDICAL CENTERS.
