MRS. HEATHER WERNLE RPA-C
NPI 1487767455
Physician Assistant in Rochester, NY

NPI Status: Active since August 16, 2006

Contact Information

1000 SOUTH AVE
ROCHESTER, NY
ZIP 14620
Phone: (585) 341-8448

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  • Individual
  • Female
  • Physician Assistant
  • PECOS Enrolled

About HEATHER WERNLE

Heather Wernle is a primary care provider established in Rochester, New York and her medical specialization is Physician Assistant. The healthcare provider is registered in the NPI registry with number 1487767455 assigned on August 2006. The practitioner's primary taxonomy code is 363A00000X with license number 010834 (NY). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1487767455
Provider Name
MRS. HEATHER WERNLE RPA-C
Other Name
MISS HEATHER WESTBROOK RPA-C
Other Name Type
Other Name (5)
Gender
Female
Entity Type
Individual
Location Address
1000 SOUTH AVE ROCHESTER, NY 14620
Location Phone
(585) 341-8448
Mailing Address
10 HAGEN DR STE 200 ROCHESTER, NY 14625
Mailing Phone
(585) 385-6070
Mailing Fax
Is Sole Proprietor?
No
Enumeration Date
08-16-2006
Last Update Date
06-05-2017
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A primary care provider (PCP) like Heather Wernle sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
010834
License State
NY
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

PECOS Enrollment and Medicare Participation Status

Heather Wernle 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

  • Other DME (D1E)

    Tubing with integrated heating element for use with positive airway pressure device (HCPCS:A4604)

    11 DME suppliers used 119 Medicare Claims 119 Services Paid

  • Other DME (D1E)

    Full face mask used with positive airway pressure device, each (HCPCS:A7030)

    8 DME suppliers used 73 Medicare Claims 73 Services Paid

  • Other DME (D1E)

    Face mask interface, replacement for full face mask, each (HCPCS:A7031)

    7 DME suppliers used 70 Medicare Claims 197 Services Paid

  • Other DME (D1E)

    Cushion for use on nasal mask interface, replacement only, each (HCPCS:A7032)

    7 DME suppliers used 30 Medicare Claims 162 Services Paid

  • Other DME (D1E)

    Pillow for use on nasal cannula type interface, replacement only, pair (HCPCS:A7033)

    5 DME suppliers used 18 Medicare Claims 91 Services Paid

  • Other DME (D1E)

    Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap (HCPCS:A7034)

    11 DME suppliers used 52 Medicare Claims 52 Services Paid

  • Other DME (D1E)

    Headgear used with positive airway pressure device (HCPCS:A7035)

    11 DME suppliers used 80 Medicare Claims 80 Services Paid

  • Other DME (D1E)

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

    11 DME suppliers used 127 Medicare Claims 689 Services Paid

  • Other DME (D1E)

    Water chamber for humidifier, used with positive airway pressure device, replacement, each (HCPCS:A7046)

    7 DME suppliers used 52 Medicare Claims 52 Services Paid

  • Other DME (D1E)

    Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) (HCPCS:E0470)

    4 DME suppliers used 12 Medicare Claims 12 Services Paid

  • Other DME (D1E)

    Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) (HCPCS:E0471)

    3 DME suppliers used 21 Medicare Claims 25 Services Paid

  • Other DME (D1E)

    Humidifier, heated, used with positive airway pressure device (HCPCS:E0562)

    8 DME suppliers used 100 Medicare Claims 104 Services Paid

  • Other DME (D1E)

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

    9 DME suppliers used 122 Medicare Claims 122 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 14620 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $88.06
  • Minimum New Patient Price $57.17
  • Maximum New Patient Price $174.05
  • Average New Patient Copayment $22.01
  • Minimum New Patient Copayment $14.29
  • Maximum New Patient Copayment $43.51

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $71.71
  • Minimum Established Patient Price $17.76
  • Maximum Established Patient Price $142.28
  • Average Established Patient Copayment $17.92
  • Minimum Established Patient Copayment $4.44
  • Maximum Established Patient Copayment $35.57

* 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 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.
1487767455
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2416714614410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 1 + 4 + 6 + 1 + 4 + 4 + 1 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1487767455 is valid because the calculated check digit 5 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.

NPI Name / Type Taxonomy Address
1033113618DR. TULSI DASS
Individual
Specialist1000 SOUTH AVE # 95
ROCHESTER, NY 14620
(585) 442-3115
1457390122DR. KYONGWOOK YIM
Individual
Internal Medicine1000 SOUTH AVE
ROCHESTER, NY 14620
(585) 341-8310
1972539211DR. SIMONE ELVEY M.D.
Individual
Radiology (Vascular & Interventional Radiology)1000 SOUTH AVE MEDICAL IMAGING
ROCHESTER, NY 14620
(585) 275-1376
1912926387MR. ALLEN PAUL WILLISTEIN PA
Individual
Physician Assistant (Surgical)1000 SOUTH AVE
ROCHESTER, NY 14620
(585) 473-2200
1568481885MS. JULIE ANNE LEO PA
Individual
Physician Assistant (Surgical)1000 SOUTH AVE
ROCHESTER, NY 14620
(585) 341-6214
1053331728MS. SHEILA ANN MARCOCCIA RPA-C
Individual
Physician Assistant (Medical)1000 SOUTH AVE HIGHLAND HOSPITAL DEPARTMENT OF MEDICINIE
ROCHESTER, NY 14620
(585) 341-6770
1063432128 MICHAEL J MADDEN RPA-C
Individual
Physician Assistant (Medical)1000 SOUTH AVE BOX 58 DEPT OF MEDICINE
ROCHESTER, NY 14620
(585) 341-6770
1467472217DR. TRACEY DEMINO MD
Individual
Emergency Medicine1000 SOUTH AVE
ROCHESTER, NY 14620
(585) 341-6880
1275557266MS. ROSALIND LEONA CACCIATO N. P.
Individual
Nurse Practitioner (Family)1000 SOUTH AVE DEPT OF PEDIATRICS
ROCHESTER, NY 14620
(585) 341-6887
1821004813 LAURA MCNAMARA RD CDE
Individual
Dietitian, Registered (Nutrition, Metabolic)1000 SOUTH AVE
ROCHESTER, NY 14620
(585) 341-6807
1932119856MR. TERRY WESLEY WIHLEN JR. RPA-C
Individual
Physician Assistant1000 SOUTH AVE EMERGENCY DEPARTMENT HIGHLAND HOSPITAL
ROCHESTER, NY 14620
(585) 341-6880
1003826066DR. LAEL E FORBES MD
Individual
Surgery1000 SOUTH AVE
ROCHESTER, NY 14620
(585) 341-6543
1366454928 SUSAN HUME NP
Individual
Nurse Practitioner1000 SOUTH AVE URMC CARDIOLOGY AT HIGHLAND
ROCHESTER, NY 14620
(585) 341-6780
1144232356 MARK BERENSON M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1000 SOUTH AVE
ROCHESTER, NY 14620
(585) 341-6596
1821001249 CYNTHIA PETIT NP
Individual
Nurse Practitioner1000 SOUTH AVE HIGHLAND CARDIOLOGY
ROCHESTER, NY 14620
(585) 341-6780
1174630933 WILLIAM JOHN HALL MD
Individual
Internal Medicine (Geriatric Medicine)1000 SOUTH AVE BOX 58
ROCHESTER, NY 14620
(585) 341-6202
1265540066 ISAURA MENZIES MD
Individual
Internal Medicine1000 SOUTH AVE BOX 58
ROCHESTER, NY 14620
(585) 341-6779
1033228853 RICHARD ALLEN CRNA
Individual
Nurse Anesthetist, Certified Registered1000 SOUTH AVE
ROCHESTER, NY 14620
(585) 341-6267
1831208552 MARGARET DEFRANCO C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered1000 SOUTH AVE
ROCHESTER, NY 14620
(585) 341-6267
1073622791 JUDY GUARINO C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered1000 SOUTH AVE
ROCHESTER, NY 14620
(585) 341-6267

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487767455, enumerated in the NPI registry as an "individual" on August 16, 2006

The provider is located at 1000 South Ave Rochester, Ny 14620 and the phone number is (585) 341-8448

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

Yes, as of June 14, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.

Medicare beneficiaries should expect a typical cost of $88.06 with an average copayment of $22.01 for new patient appointments. Established patients should expect a typical charge of $71.71 and an average copayment of 17.92. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on August 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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