MS. JILLIAN WADE AGACNP NPI 1427429497

Nurse Practitioner (Acute Care) in Wayne, NJ

NPI 1427429497 Individual Female Years of Experience 8 Nurse Practitioner Acute Care PECOS Enrolled Accepts Medicare Approved Payment

NPI Profile for MS. JILLIAN WADE AGACNP

Jillian Wade is a provider established in Wayne, New Jersey and her medical specialization is nurse practitioner (acute care) with more than 8 years of experience. The NPI number of Jillian Wade is 1427429497 and was assigned on October 2015. The practitioner's primary taxonomy code is 363LA2100X with license number 26NJ00831000 (NJ). The provider is registered as an individual and her NPI record was last updated 4 years ago.

A nurse practitioner (NP) like Ms. Jillian Wade Agacnp 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.

Jillian Wade 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.

Jillian Wade 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 St Joseph's Hospital And Medical Center.

The typical physician office visit costs for Medicare beneficiaries in this area are: $25.35 for a new patient copayment and $29.21 for an established patient copayment.

NPI

1427429497

Provider NameMS. JILLIAN WADE AGACNP
Provider Location Address224 HAMBURG TURNPIKE WAYNE, NJ 07470
Provider Mailing Address224 HAMBURG TURNPIKE WAYNE, NJ 07470
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2015
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-15-2015
Last Update Date08-28-2018


Primary Taxonomy

Taxonomy Code363LA2100X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationAcute Care
License No.26NJ00831000
License StateNJ

Business Address

MS. JILLIAN WADE AGACNP
224 HAMBURG TURNPIKE
WAYNE, NJ
ZIP 07470
Phone: (973) 942-6900
Fax: (973) 754-5475

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Mailing Address

MS. JILLIAN WADE AGACNP
224 HAMBURG TURNPIKE
WAYNE, NJ
ZIP 07470
Phone: (973) 942-6900
Fax: (973) 754-5475



PECOS Enrollment and Medicare Participation

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 ID4082910732
PECOS Enrollment IDI20181031000847
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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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 07470 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
$66.45 $198.48 $101.4
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$16.61 $49.62 $25.35
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
$21.27 $162.58 $116.86
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.31 $40.64 $29.21

* 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. Jillian Wade is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ST JOSEPH'S HOSPITAL AND MEDICAL CENTER703 MAIN ST
PATERSON, NJ 7503
(973) 754-2010Acute Care Hospitals310019

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care95003060CANo

Taxonomy Description: Not Available

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1427429497
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24478218418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 8 + 2 + 1 + 8 + 4 + 1 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1427429497 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619007606DR. BIMLA PAUL MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)224 HAMBURG TURNPIKE ST JOSEPHS WAYNE HOSPITAL
WAYNE, NJ 07470
(973) 956-3314
1437185865INTEGRATED HOSPITAL MEDICINE LLC
Organization
Hospitalist224 HAMBURG TURNPIKE
WAYNE, NJ 07470
(973) 989-3085
1609847870ST JOSEPH'S HOSPITAL AND MEDICAL CENTER
Organization
Rehabilitation Unit224 HAMBURG TURNPIKE
WAYNE, NJ 07470
(973) 956-3500

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Ms. Jillian Wade Agacnp is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.