MS. MARY THERESA SIMON PMHNP
NPI 1487793238
Nurse Practitioner - Psychiatric/Mental Health in Moosic, PA
- Individual
- Female
- Nurse Practitioner
- Psychiatric/Mental Health
- Medicare Quality Reporting
About MARY SIMON
This page provides the complete NPI Profile along with additional information for Mary Simon, a provider established in Moosic, Pennsylvania with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1487793238 assigned on February 2007. The practitioner's primary taxonomy code is 363LP0808X with license number SP016910 (PA). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1487793238
- Provider Name
- MS. MARY THERESA SIMON PMHNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 340 MONTAGE MOUNTAIN RD MOOSIC, PA 18507
- Location Phone
- (570) 346-3686
- Location Fax
- (570) 558-6838
- Mailing Address
- 340 MONTAGE MOUNTAIN RD MOOSIC, PA 18507
- Mailing Phone
- (570) 346-3686
- Mailing Fax
- (570) 558-6838
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-06-2007
- Last Update Date
- 02-27-2017
- Code Navigator
A nurse practitioner (NP) like Mary Simon 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 Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- SP016910
- License State
- PA
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 |
|---|---|---|---|
| SP016910 | OTHER (01) | PA | PENNSYLVANIA CERTIFIED REGISTERED NURSE PRACTITIONER-PSYCHIATRIC MENTAL HEALTH |
| 2015023708 | OTHER (01) | PMHNP |
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 |
|---|---|---|
| Pneumococcal Vaccination Status for Older Adults | 99% | 70 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | 136 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
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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 1487793238, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 72 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MOOSIC, PA 18507
MOOSIC, PA 18507
MOOSIC, PA 18507
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487793238, enumerated as an "individual" on February 06, 2007.
The provider is located at 340 MONTAGE MOUNTAIN RD MOOSIC, PA 18507 and the phone number is (570) 346-3686.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
