HEATHER E BARRETT CRNP NPI 1376209403
Nurse Practitioner - Adult Health in York, PA
About HEATHER E BARRETT CRNP
Heather Barrett is a provider established in York, Pennsylvania and her medical specialization is Nurse Practitioner with a focus in adult health with more than 3 years of experience. The NPI number of this provider is 1376209403 and was assigned on November 2021. The practitioner's primary taxonomy code is 363LA2200X with license number SP024456 (PA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
| NPI | 1376209403 |
| Provider Name | HEATHER E BARRETT CRNP |
| Location Address | 300 PINE GROVE CMNS YORK, PA 17403 |
| Location Phone | (717) 851-6110 |
| Mailing Address | 3421 CONCORD RD YORK, PA 17402 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2020 |
| Is Sole Proprietor? | No |
| Enumeration Date | 11-12-2021 |
| Last Update Date | 11-12-2021 |
A nurse practitioner (NP) like Heather Barrett 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.Heather Barrett 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.
Heather Barrett 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 Wellspan York Hospital.
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 | 363LA2200X |
| Classification | Nurse Practitioner |
| Type | Physician Assistants & Advanced Practice Nursing Providers |
| Specialization | Adult Health |
| License No. | SP024456 |
| License State | PA |
Business Address
300 PINE GROVE CMNS
YORK, PA
ZIP 17403
Phone: (717) 851-6110
Fax: (717) 741-1076
Mailing Address
3421 CONCORD RD
YORK, PA
ZIP 17402
Phone: (717) 851-6110
Fax: (717) 741-1076
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 | 4385034222 |
| PECOS Enrollment ID | I20211208000322 |
| 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 17403 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.
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. Heather Barrett is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| WELLSPAN YORK HOSPITAL | 1001 SOUTH GEORGE STREET YORK, PA 17403 | (717) 851-4495 | Acute Care Hospitals | 390046 |
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 | 7 | 6 | 2 | 0 | 9 | 4 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 14 | 6 | 4 | 0 | 18 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 4 + 6 + 4 + 0 + 1 + 8 + 4 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1376209403 is valid because the calculated check digit 3 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 |
|---|---|---|---|
| 1649722802 | WELLSPAN MEDICAL GROUP Organization | Surgery (Pediatric Surgery) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 812-2479 |
| 1265743959 | SHABNAM HAFIZ MD Individual | Surgery (Surgical Critical Care) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1992962997 | DR. ALI KHALID JAWED M.D. Individual | Surgery | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1942768981 | GEORGE D SCHEURICH CRNP Individual | Nurse Practitioner (Acute Care) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1629627401 | CARLY JO BOLTON PA Individual | Physician Assistant | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1740549427 | AMY JILL BRICKNER CRNP Individual | Nurse Practitioner (Pediatrics) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1386021624 | HEIDI MICHELLE RICKER CRNP Individual | Nurse Practitioner (Acute Care) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1285277913 | SARA ANNE LISCHERELLI Individual | Nurse Practitioner (Critical Care Medicine) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1003005174 | MR. DAVID M. GILMAN PA-C Individual | Physician Assistant | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1215609201 | ALISON ANN SEMON CRNP Individual | Nurse Practitioner (Acute Care) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1235725375 | ALLISON REED BINGHAM CRNP Individual | Nurse Practitioner (Acute Care) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1851946859 | GRACE ELIZABETH WILSON PA-C Individual | Physician Assistant | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1144894981 | REBECCA LYNN WILSON CRNP Individual | Nurse Practitioner (Family) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1235398355 | DR. GRAHAM G LAURENCE M.D. Individual | Surgery (Surgical Critical Care) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1063479970 | DANIEL E CARNEY MD Individual | Surgery (Surgical Critical Care) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1093917221 | JESSE GODDARD M.D. Individual | Surgery (Surgical Critical Care) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1316333487 | WELLSPAN MEDICAL GROUP Organization | Surgery (Trauma Surgery) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1346281607 | DR. MICHAEL P NAJARIAN MD Individual | Surgery (Surgical Critical Care) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1730149535 | DR. SHAWN MICHAEL TERRY M.D. Individual | Surgery (Surgical Critical Care) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
| 1851320493 | DR. EBONDO MPINGA MD Individual | Surgery (Surgical Critical Care) | 300 PINE GROVE CMNS YORK, PA 17403 (717) 851-6110 |
Frequently Asked Questions
What is Heather Barrett CRNP NPI number?
The NPI number assigned to this healthcare provider is 1376209403, registered as an "individual" on November 12, 2021
Where is Heather Barrett CRNP located?
The provider is located at 300 Pine Grove Cmns York, Pa 17403 and the phone number is (717) 851-6110
Which is Heather Barrett CRNP specialty?
The provider's speciality is Nurse Practitioner with a focus in Adult Health
How many years of experience does Heather Barrett CRNP have?
The provider has more than 3 years of experience.
Is Heather Barrett 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 Heather Barrett 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.
Is Heather Barrett CRNP affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: WELLSPAN YORK HOSPITAL. 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 Heather Barrett CRNP was last updated on November 12, 2021. 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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