NICOLE CROWDER FNP
NPI 1437506789
Nurse Practitioner - Family in Salem, VA

NPI Status: Active since May 17, 2016

Contact Information

1802 BRAEBURN DR
SALEM, VA
ZIP 24153
Phone: (540) 772-3490
Fax: (540) 725-5069

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  • Individual
  • Female
  • Nurse Practitioner
  • Family
  • PECOS Enrolled

About NICOLE CROWDER

This page provides the complete NPI Profile along with additional information for Nicole Crowder, a provider established in Salem, Virginia with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1437506789 assigned on May 2016. The practitioner's primary taxonomy code is 363LF0000X with license number F0516010 (VA). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1437506789
Provider Name
NICOLE CROWDER FNP
Gender
Female
Entity Type
Individual
Location Address
1802 BRAEBURN DR SALEM, VA 24153
Location Phone
(540) 772-3490
Location Fax
(540) 725-5069
Mailing Address
1802 BRAEBURN DR SALEM, VA 24153
Mailing Phone
(540) 772-3490
Mailing Fax
(540) 725-5069
Is Sole Proprietor?
No
Enumeration Date
05-17-2016
Last Update Date
12-13-2016
Code Navigator

A nurse practitioner (NP) like Nicole Crowder 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 Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
F0516010
License State
VA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

0001214090 (VA)

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.

*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
P01716096MEDICARE PIN (08)VA 
1437506789MEDICAID (05)VA 
VVM059AMEDICARE PIN (08)VA 

Medicare Participation & PECOS Enrollment Status

Nicole Crowder 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

  • 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

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Supplies for maintenance of insulin infusion catheter, per week (HCPCS:A4224)

    2 DME suppliers used 12 Medicare Claims 142 Services Paid

  • DME-Other DME (DE017N)

    Supplies for external insulin infusion pump, syringe type cartridge, sterile, each (HCPCS:A4225)

    2 DME suppliers used 13 Medicare Claims 365 Services Paid

  • DME-Other DME (DE017N)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    18 DME suppliers used 54 Medicare Claims 188 Services Paid

  • DME-Medical/Surgical Supplies (DA000N)

    Lancets, per box of 100 (HCPCS:A4259)

    9 DME suppliers used 19 Medicare Claims 46 Services Paid

  • DME-Other DME (DE001N)

    Filter, disposable, used with positive airway pressure device (HCPCS:A7038)

    3 DME suppliers used 11 Medicare Claims 56 Services Paid

  • DME-Other DME (DE001N)

    Continuous positive airway pressure (cpap) device (HCPCS:E0601)

    5 DME suppliers used 23 Medicare Claims 23 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    3 DME suppliers used 22 Medicare Claims 22 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Portable oxygen concentrator, rental (HCPCS:E1392)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Other DME (DE017N)

    Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)

    13 DME suppliers used 133 Medicare Claims 133 Services Paid

  • DME-Other DME (DE000N)

    Pharmacy dispensing fee for inhalation drug(s); per 30 days (HCPCS:Q0513)

    4 DME suppliers used 21 Medicare Claims 21 Services Paid

Drugs Administered Through DME

  • DME-Drugs Administered Through DME (DG006N)

    Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg (HCPCS:J7613)

    4 DME suppliers used 11 Medicare Claims 2173 Services Paid

Physician Visit Costs

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 24153 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $86.88
  • Minimum New Patient Price $56.19
  • Maximum New Patient Price $170.3
  • Average New Patient Copayment $21.72
  • Minimum New Patient Copayment $14.04
  • Maximum New Patient Copayment $42.57

Established Patients Visit Costs *

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

  • Average Established Patient Price $99.13
  • Minimum Established Patient Price $18.07
  • Maximum Established Patient Price $138.91
  • Average Established Patient Copayment $24.78
  • Minimum Established Patient Copayment $4.51
  • Maximum Established Patient Copayment $34.72

* 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.

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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 1437506789, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
3
Doubled → 6
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 3 → 6 5 → 10 → 1 6 → 12 → 3 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 6 + 7 + 1 + 0 + 0 + 1 + 2 + 7 + 1 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1437506789.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Otolaryngology
1802 BRAEBURN DR
SALEM, VA 24153
Orthopaedic Surgery
1802 BRAEBURN DR
SALEM, VA 24153
Anesthesiology
1802 BRAEBURN DR
SALEM, VA 24153
Specialist
1802 BRAEBURN DR
SALEM, VA 24153
Pediatrics
1802 BRAEBURN DR
SALEM, VA 24153
Physician Assistant (Surgical)
1802 BRAEBURN DR, SUITE 1310
SALEM, VA 24153
Physician Assistant (Surgical)
1802 BRAEBURN DR, SUITE 1310
SALEM, VA 24153
Pediatrics
1802 BRAEBURN DR
SALEM, VA 24153
Specialist
1802 BRAEBURN DR
SALEM, VA 24153
Pediatrics
1802 BRAEBURN DR
SALEM, VA 24153
Psychiatry & Neurology (Neurology)
1802 BRAEBURN DR
SALEM, VA 24153
Dermatology
1802 BRAEBURN DR
SALEM, VA 24153
Internal Medicine (Pulmonary Disease)
1802 BRAEBURN DR
SALEM, VA 24153
Ophthalmology
1802 BRAEBURN DR
SALEM, VA 24153
Obstetrics & Gynecology (Gynecology)
1802 BRAEBURN DR
SALEM, VA 24153
Internal Medicine
1802 BRAEBURN DR
SALEM, VA 24153
Internal Medicine (Cardiovascular Disease)
1802 BRAEBURN DR
SALEM, VA 24153
Pediatrics
1802 BRAEBURN DR
SALEM, VA 24153
Pediatrics
1802 BRAEBURN DR
SALEM, VA 24153
Pediatrics
1802 BRAEBURN DR
SALEM, VA 24153

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437506789, enumerated as an "individual" on May 17, 2016.

The provider is located at 1802 BRAEBURN DR SALEM, VA 24153 and the phone number is (540) 772-3490.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

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