ELA TENPENNY APN
NPI 1437156932
Nurse Practitioner - Adult Health in Toms River, NJ
Quality Rating: 81.1 out of 100 score
NPI Status: Active since June 30, 2005
Contact Information
111 W WATER ST
TOMS RIVER, NJ
ZIP 08753
Phone: (732) 244-4700
Fax: (732) 244-2804
- Individual
- Female
- Nurse Practitioner
- Adult Health
- Medicare Quality Reporting
About ELA TENPENNY
This page provides the complete NPI Profile along with additional information for Ela Tenpenny, a provider established in Toms River, New Jersey with a medical specialization in Nurse Practitioner, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1437156932 assigned on June 2005. The practitioner's primary taxonomy code is 363LA2200X with license number 26NN11065100 (NJ). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1437156932
- Provider Name
- ELA TENPENNY APN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 111 W WATER ST TOMS RIVER, NJ 08753
- Location Phone
- (732) 244-4700
- Location Fax
- (732) 244-2804
- Mailing Address
- 1580 LAKEWOOD RD STE 16 TOMS RIVER, NJ 08755
- Mailing Phone
- (732) 456-7777
- Mailing Fax
- (732) 244-2804
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-30-2005
- Last Update Date
- 06-14-2018
- Code Navigator
A nurse practitioner (NP) like Ela Tenpenny 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 Adult Health
- Taxonomy Code
- 363LA2200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 26NN11065100
- License State
- NJ
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0161663 | OTHER (01) | NJ | GHI PPO |
| 3K5255 | OTHER (01) | NJ | HEALTHNET |
| 9261217 | OTHER (01) | NJ | AETNA PPO |
| 45215 | OTHER (01) | NJ | UNIVERSITY HEALTH PLANS |
| 320567 | OTHER (01) | NJ | AMERICAID/AMERIGROUP |
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 81.1, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 81.1 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 77.76
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Engagement of patients through implementation of improvements in patient portal | Yes | N/A |
| Access to an enhanced patient portal that provides up to date information related to relevant chronic disease health or blood pressure control, and includes interactive features allowing patients to enter health information and/or enables bidirectional communication about medication changes and adherence. | ||
| e-Prescribing | 100% | 5390 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Immunization Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data. | ||
| Patient-Specific Education | 44% | 2514 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Provide Patient Access | 43% | 2514 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
| Use of QCDR data for quality improvement such as comparative analysis reports across patient populations | Yes | N/A |
| Participation in a QCDR, clinical data registries, or other registries run by other government agencies such as FDA, or private entities such as a hospital or medical or surgical society. Activity must include use of QCDR data for quality improvement (e.g., comparative analysis across specific patient populations for adverse outcomes after an outpatient surgical procedure and corrective steps to address adverse outcome). | ||
Reviews for ELA TENPENNY APN
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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 | 4 | 3 | 7 | 1 | 5 | 6 | 9 | 3 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 6 | 7 | 2 | 5 | 12 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 6 + 7 + 2 + 5 + 1 + 2 + 9 + 6 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1437156932 is valid because the calculated check digit 2 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.
THE CENTER FOR ORTHOPEDICS & SPORTS MEDICINE, PA
Orthopaedic Surgery
111 W WATER ST
TOMS RIVER, NJ
ZIP 08753
DANIEL E FOX M.D.
Orthopaedic Surgery
111 W WATER ST
TOMS RIVER, NJ
ZIP 08753
RAMI E GEFFNER MD PA
Dermatology
111 W WATER ST
TOMS RIVER, NJ
ZIP 08753
WILLIAM CLARK LAMBERT M.D.
Pathology
(Anatomic Pathology)
111 W WATER ST
TOMS RIVER, NJ
ZIP 08753
DR. FAUSTINO FALGUI ESTELLA M.D.
Surgery
111 W WATER ST
TOMS RIVER, NJ
ZIP 08753
COLLEEN FAGAN
Physical Therapist
111 W WATER ST
TOMS RIVER, NJ
ZIP 08753
CHRISTINA M GILSON DPT
Physical Therapist
111 W WATER ST
TOMS RIVER, NJ
ZIP 08753
MRS. CAROL VASOLD CRNP
Nurse Practitioner
(Family)
111 W WATER ST
TOMS RIVER, NJ
ZIP 08753
LEEA ARSENAULT NP
Registered Nurse
111 W WATER ST
TOMS RIVER, NJ
ZIP 08753
ELEANOR C DOMINGUEZ-CURATOLO NP
Nurse Practitioner
(Family)
111 W WATER ST
TOMS RIVER, NJ
ZIP 08753
LAYNE GORMLEY
Physical Therapist
111 W WATER ST
TOMS RIVER, NJ
ZIP 08753
DAVID MICHAEL LORENZO JR. DPT
Physical Therapist
111 W WATER ST
TOMS RIVER, NJ
ZIP 08753
MS. LAURIE L. ROST N.P.
Nurse Practitioner
111 W WATER ST
TOMS RIVER, NJ
ZIP 08753
DR. MELISSA K DIXON MD
Dermatology
111 W WATER ST
TOMS RIVER, NJ
ZIP 08753
MRS. KRISTEN LEWIS APN
Nurse Practitioner
(Family)
111 W WATER ST
TOMS RIVER, NJ
ZIP 08753
STRESS CARE OF NEW JERSEY, LLC
Clinic/Center
(Mental Health (Including Community Mental Health Center))
111 W WATER ST
TOMS RIVER, NJ
ZIP 08753
STRESS CARE OF NEW JERSEY, LLC
Clinic/Center
(Rehabilitation, Substance Use Disorder)
111 W WATER ST
TOMS RIVER, NJ
ZIP 08753
SIMRA IRFAN
Social Worker
(Clinical)
111 W WATER ST
TOMS RIVER, NJ
ZIP 08753
JANINE MARIE BURGIO
Social Worker
111 W WATER ST
TOMS RIVER, NJ
ZIP 08753
MRS. JILLIAN BETZ LSW
Social Worker
111 W WATER ST
TOMS RIVER, NJ
ZIP 08753
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437156932, enumerated as an "individual" on June 30, 2005.
The provider is located at 111 W WATER ST TOMS RIVER, NJ 08753 and the phone number is (732) 244-4700.
Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.
The provider might be accepting Accepts: Medicare, Medicaid, Aetna and Amerigroup. Please consult your insurance carrier or call the provider to verify.
