ALICIA BARKHOLTZ
NPI 1407575004
Nurse Practitioner - Family in Fond Du Lac, WI
NPI Status: Active since August 25, 2022
Contact Information
180 KNIGHTS WAY
FOND DU LAC, WI
ZIP 54935
Phone: (920) 922-5433
- Individual
- Female
- Nurse Practitioner
- Family
- Opted-Out Medicare
About ALICIA BARKHOLTZ
This page provides the complete NPI Profile along with additional information for Alicia Barkholtz, a provider established in Fond Du Lac, Wisconsin with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1407575004 assigned on August 2022. The practitioner's primary taxonomy code is 363LF0000X with license number F06222127 (WI). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1407575004
- Provider Name
- ALICIA BARKHOLTZ
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 180 KNIGHTS WAY FOND DU LAC, WI 54935
- Location Phone
- (920) 922-5433
- Mailing Address
- W7157 HILLVIEW RD GREENVILLE, WI 54942
- Mailing Phone
- (920) 205-6040
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-25-2022
- Last Update Date
- 08-25-2022
- Code Navigator
A nurse practitioner (NP) like Alicia Barkholtz 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.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Alicia Barkholtz opted out of Medicare effective on 07-09-2024 until 07-09-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
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
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- F06222127
- License State
- WI
Medicare Participation & PECOS Enrollment Status
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.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 07-09-2024
Opt-Out End Date: 07-09-2026
Eligible to Order and Refer? No
Reviews for ALICIA BARKHOLTZ
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1407575004, we treat the final digit (4) 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).
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 46 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407575004, enumerated as an "individual" on August 25, 2022.
The provider is located at 180 KNIGHTS WAY FOND DU LAC, WI 54935 and the phone number is (920) 922-5433.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
