NATALIE PACHINGER
NPI 1427687029
Nurse Practitioner - Acute Care in Colleyville, TX

NPI Status: Active since April 06, 2020

Contact Information

5009 HERITAGE AVE
COLLEYVILLE, TX
ZIP 76034
Phone: (440) 897-0365

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  • Individual
  • Female
  • Years of Experience 7
  • Nurse Practitioner
  • Acute Care
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About NATALIE PACHINGER

This page provides the complete NPI Profile along with additional information for Natalie Pachinger, a provider established in Colleyville, Texas with a medical specialization in Nurse Practitioner, focusing in acute care and more than 7 years of experience. The healthcare provider is registered in the NPI registry with number 1427687029 assigned on April 2020. The practitioner's primary taxonomy code is 363LA2100X with license number AP145762 (TX). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1427687029
Provider Name
NATALIE PACHINGER
Gender
Female
Entity Type
Individual
Location Address
5009 HERITAGE AVE COLLEYVILLE, TX 76034
Location Phone
(440) 897-0365
Mailing Address
5009 HERITAGE AVE COLLEYVILLE, TX 76034
Medical School Name
OTHER
Graduation Year
2019
Is Sole Proprietor?
Yes
Enumeration Date
04-06-2020
Last Update Date
08-27-2020
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A nurse practitioner (NP) like Natalie Pachinger 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.

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 Acute Care

Taxonomy Code
363LA2100X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
AP145762
License State
TX

Insurance Plans Accepted

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

  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Low Premium Silver 6000 $3 Generic Drugs - HMO
  • Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Silver 5000 $20 Generic Drugs - HMO
  • Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Natalie Pachinger 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.

Natalie Pachinger 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

  • PECOS PAC ID: 4688084353

    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: I20240603002633

    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.

  • 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.

Transitional care management services for problem of high complexity

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

This service was performed 25 times for 25 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.8 for a new patient copayment and $24.92 for an established patient copayment.

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 76034 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $87.2
  • Minimum New Patient Price $56.47
  • Maximum New Patient Price $171.07
  • Average New Patient Copayment $21.8
  • Minimum New Patient Copayment $14.11
  • Maximum New Patient Copayment $42.76

Established Patients Visit Costs *

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

  • Average Established Patient Price $99.68
  • Minimum Established Patient Price $18.18
  • Maximum Established Patient Price $139.68
  • Average Established Patient Copayment $24.92
  • Minimum Established Patient Copayment $4.54
  • Maximum Established Patient Copayment $34.92

* 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.

Find 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. Natalie Pachinger is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
LAKE HEALTH7590 AUBURN ROAD
CONCORD, OH 44077
(440) 375-8180Acute Care Hospitals

Reviews for NATALIE PACHINGER

  • 5 out of 5 stars - Review by JAThorne on December 11, 2023

    Natalie Pachinger is a Nurse Practitioner I have seen at Heritage Rheumatology for several years. She is FANTASTIC! As helpful as she has been, I prefer to see her vs the regular doctor. My next appointment is tomorrow, and I received a text that my appointment is with someone else. And of course, no one will tell me where she went.

  • 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.
    1427687029
    Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
    24471281404
    Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
    2 + 4 + 4 + 7 + 1 + 2 + 8 + 1 + 4 + 0 + 4 + 24 = 61
    Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
    70 - 61 = 99

    The NPI number 1427687029 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

    Other Providers at the Same Location


    The following 5 providers are registered at the same or nearby location.

    DHIMAN BASU MD

    Internal Medicine

    (Rheumatology)

    5009 HERITAGE AVE
    COLLEYVILLE, TX
    ZIP 76034

    (817) 590-0880

    HERITAGE RHEUMATOLOGY & ARTHRITIS CARE

    Internal Medicine

    (Rheumatology)

    5009 HERITAGE AVE
    COLLEYVILLE, TX
    ZIP 76034

    (817) 590-0880

    JESSICA RODRIGUEZ PA

    Physician Assistant

    5009 HERITAGE AVE
    COLLEYVILLE, TX
    ZIP 76034

    (817) 590-0800

    MRS. STACI FIOCK AGACNP-BC

    Nurse Practitioner

    (Gerontology)

    5009 HERITAGE AVE
    COLLEYVILLE, TX
    ZIP 76034

    (817) 590-0880

    AMERICAN ARTHRITIS & RHEUMATOLOGY ASSOCIATES-TX PLLC

    Internal Medicine

    (Rheumatology)

    5009 HERITAGE AVE
    COLLEYVILLE, TX
    ZIP 76034

    (817) 590-0880

    Frequently Asked Questions

    The NPI number assigned to this healthcare provider is 1427687029, enumerated as an "individual" on April 06, 2020.

    The provider is located at 5009 HERITAGE AVE COLLEYVILLE, TX 76034 and the phone number is (440) 897-0365.

    Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.

    The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.

    Natalie Pachinger is affiliated with: LAKE HEALTH.