NIA'JA STE'VONA MACK FNP-C
NPI 1497254502
Nurse Practitioner - Family in Baton Rouge, LA
NPI Status: Active since February 04, 2018
Contact Information
100 WOMANS WAY
BATON ROUGE, LA
ZIP 70817
Phone: (225) 924-8999
- Individual
- Female
- Years of Experience 9
- Nurse Practitioner
- Family
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About NIA'JA MACK
This page provides the complete NPI Profile along with additional information for Nia'ja Mack, a provider established in Baton Rouge, Louisiana with a medical specialization in Nurse Practitioner, focusing in family and more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1497254502 assigned on February 2018. The practitioner's primary taxonomy code is 363LF0000X with license number AP09772 (LA). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1497254502
- Provider Name
- NIA'JA STE'VONA MACK FNP-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 100 WOMANS WAY BATON ROUGE, LA 70817
- Location Phone
- (225) 924-8999
- Mailing Address
- 25627 BUFFWOOD ST DENHAM SPRINGS, LA 70726
- Mailing Phone
- (225) 305-3828
- Medical School Name
- OTHER
- Graduation Year
- 2017
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-04-2018
- Last Update Date
- 02-04-2018
- Code Navigator
A nurse practitioner (NP) like Nia'ja Mack 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.
- AP09772
- License State
- LA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Max 70/50 $6700 - PPO
- Blue Max 90/70 $1500 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3200 - PPO
- Blue POS 60/40 $6500 - POS
- Blue POS 70/50 $4550 - POS
- Blue POS 80/60 $3200 - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 80/60 $1000 - POS
- Precision Blue 80/60 $3200 (BR) - POS
- Precision Blue 80/60 $3200 (M) - POS
- Precision Blue Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (BR) - POS
- Precision Blue Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (M) - POS
- Precision Blue Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (BR) - POS
- Precision Blue Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (M) - POS
- Precision Blue Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (BR) - POS
- Precision Blue Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (M) - POS
- Signature Blue 80/60 $3200 - POS
- Signature Blue Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
- Signature Blue Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
- Signature Blue Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
- Essential Bronze 6500 - POS
- Essential Gold 1500 - POS
- Freedom Silver 4000 - POS
- Savings Bronze 7700 - POS
- Standard Bronze 7500 - POS
- Standard Gold 1500 - POS
- Standard Silver 5000 - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Nia'ja Mack is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Nia'ja Mack 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: 2961764741
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: I20180314000514
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? Maybe
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.
Established patient office or other outpatient visit, 20-29 minutes
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 99 times for 59 patientsPhysician 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 70817 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.6
- Minimum New Patient Price $53.43
- Maximum New Patient Price $164.73
- Average New Patient Copayment $20.9
- Minimum New Patient Copayment $13.35
- Maximum New Patient Copayment $41.18
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.09
- Minimum Established Patient Price $16.64
- Maximum Established Patient Price $133.62
- Average Established Patient Copayment $23.77
- Minimum Established Patient Copayment $4.16
- Maximum Established Patient Copayment $33.4
* 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. Nia'ja Mack is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| WOMANS HOSPITAL | 100 WOMAN'S WAY BATON ROUGE, LA 70817 | (225) 927-1300 | Acute Care Hospitals |
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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 | 9 | 7 | 2 | 5 | 4 | 5 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 4 | 5 | 8 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 4 + 5 + 8 + 5 + 0 + 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 1497254502 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.
MARCIA LYNN GREMILLION M.D.
Radiology
(Diagnostic Radiology)
100 WOMANS WAY
BATON ROUGE, LA
ZIP 70817
STEVEN CHARLES SOTILE M.D.
Radiology
(Diagnostic Radiology)
100 WOMANS WAY
BATON ROUGE, LA
ZIP 70817
ELIZABETH GAY WINTERS M.D.
Radiology
(Diagnostic Radiology)
100 WOMANS WAY
BATON ROUGE, LA
ZIP 70817
MISTY MANUEL NORMAN MD
Radiology
(Diagnostic Radiology)
100 WOMANS WAY
DEPARTMENT OF RADIOLOGY, WOMEN'S HOSPITAL
BATON ROUGE, LA
ZIP 70817
JOHN OTTO LOVRETICH M.D.
Radiology
(Diagnostic Radiology)
100 WOMANS WAY
BATON ROUGE, LA
ZIP 70817
LESLIE MCLIN CRNA
Nurse Anesthetist, Certified Registered
100 WOMANS WAY
BATON ROUGE, LA
ZIP 70817
MARLO C MARTIN CRNA
Nurse Anesthetist, Certified Registered
100 WOMANS WAY
BATON ROUGE, LA
ZIP 70817
WOMANS HOSPITAL FOUNDATION
Pharmacy
100 WOMANS WAY
SUITE SSB1
BATON ROUGE, LA
ZIP 70817
KHAKI RENEE HAZZLERIGG FNP-C
Nurse Practitioner
(Family)
100 WOMANS WAY
BATON ROUGE, LA
ZIP 70817
WOMAN'S HOSPITAL FOUNDATION
Clinical Medical Laboratory
100 WOMANS WAY
BATON ROUGE, LA
ZIP 70817
BRITTANY S MUSSO CRNA
Anesthesiology
100 WOMANS WAY
BATON ROUGE, LA
ZIP 70817
MICHELLE B BAJON CRNA
Anesthesiology
100 WOMANS WAY
BATON ROUGE, LA
ZIP 70817
JAN BENANTI MD
Obstetrics & Gynecology
100 WOMANS WAY
BATON ROUGE, LA
ZIP 70817
VERNON D. COFFMAN MD
Anesthesiology
100 WOMANS WAY
BATON ROUGE, LA
ZIP 70817
NICKOLAS A SKIAS CRNA
Anesthesiology
100 WOMANS WAY
BATON ROUGE, LA
ZIP 70817
DR. JEFFREY GERALD BREAUX M.D.
Obstetrics & Gynecology
100 WOMANS WAY
BATON ROUGE, LA
ZIP 70817
MR. MARIO PEREZ-PENA CRNA
Nurse Anesthetist, Certified Registered
100 WOMANS WAY
BATON ROUGE, LA
ZIP 70817
BARBARA DUFF GRIFFITH M.D.
Emergency Medicine
100 WOMANS WAY
BATON ROUGE, LA
ZIP 70817
CHRISTIE MOREAU CRNA
Nurse Anesthetist, Certified Registered
100 WOMANS WAY
BATON ROUGE, LA
ZIP 70817
STEVEN MINERVINI CRNA
Nurse Anesthetist, Certified Registered
100 WOMANS WAY
BATON ROUGE, LA
ZIP 70817
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497254502, enumerated as an "individual" on February 04, 2018.
The provider is located at 100 WOMANS WAY BATON ROUGE, LA 70817 and the phone number is (225) 924-8999.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, HMO. Please consult your insurance carrier or call the provider to verify.
Nia'ja Mack is affiliated with: WOMANS HOSPITAL.
