PATRICIA M MCCARTHY FNP
NPI 1508140229
Nurse Practitioner in Saint Joseph, MI

Q: What is Patricia Mccarthy's NPI number?

The NPI number for Patricia Mccarthy is 1508140229. It was assigned to this individual provider in the NPPES registry on September 29, 2011.

Q: What is Patricia Mccarthy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Patricia Mccarthy was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 29, 2011PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1234 NAPIER AVE, SAINT JOSEPH, MI 49085(269) 982-5864(269) 982-5113 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 19, 2023, Jan 12, 2023, Jul 6, 2021 and 2 more (5 updates tracked since 2018).

On this page

About Patricia M Mccarthy Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICIA M MCCARTHY FNP (NPI 1508140229) is an individual nurse practitioner in Saint Joseph, Michigan, licensed in Michigan (4704302653) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1508140229

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NamePATRICIA M MCCARTHYCredential: FNP

Location Address1234 NAPIER AVESaint Joseph, MI 49085-2112

Mailing Address1234 Napier AveSaint Joseph, MI 49085-2112 · (269) 982-5864 · Fax (269) 982-5113

Phone(269) 982-5864

Fax(269) 982-5113

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateSeptember 29, 2011

Last NPPES UpdateJanuary 19, 20235 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2023

✔ NPI 1508140229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704302653

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 4704302653 (MI)

1234 NAPIER AVE, Saint Joseph, MI 49085

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Patricia M Mccarthy Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890055396

PECOS Enrollment IDI20180201000058

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

262 services168 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230021

Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County

Emergency services Birthing friendly

Corewell Health Watervliet Hospital

Acute Care Hospitals · Watervliet, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number230078

Location400 Medical Park DrWatervliet, MI 49098 · Berrien County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49085 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.54

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 24

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers33 claims33 services$38.90 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

4 suppliers25 claims52 services$1.52 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers20 claims20 services$92.82 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

5 suppliers23 claims54 services$33.60 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

4 suppliers20 claims94 services$15.66 avg. paid by Medicare

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

DME-Other DME · category DE001N

6 suppliers32 claims32 services$59.65 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

6 suppliers35 claims35 services$19.35 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

3 suppliers14 claims14 services$15.28 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

6 suppliers63 claims281 services$2.20 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

3 suppliers15 claims15 services$11.52 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers64 claims72 services$16.36 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers19 claims19 services$919.98 avg. paid by Medicare

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) E0470

DME-Other DME · category DE001N

2 suppliers13 claims13 services$88.81 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier20 claims40 services$14.79 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

5 suppliers72 claims72 services$6.12 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers98 claims100 services$39.85 avg. paid by Medicare

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

DME-Oxygen and Supplies · category DC002N

6 suppliers175 claims178 services$85.83 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers62 claims62 services$29.24 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

8 suppliers70 claims4,140 services$6.43 avg. paid by Medicare

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

DME-Drugs Administered Through DME · category DG006N

13 suppliers24 claims5,234 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

4 suppliers16 claims1,970 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

7 suppliers58 claims3,660 services$0.80 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

2 suppliers33 claims173,250 services$0.15 avg. paid by Medicare

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

DME-Other DME · category DE000N

15 suppliers102 claims102 services$25.77 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANY S MESIHA MD

Internal Medicine

1234 NAPIER AVE
SAINT JOSEPH, MI 49085

Berrien County (269) 983-8300

CORY MINIER SCHMIDT MD

Pediatrics

1234 NAPIER AVE
SAINT JOSEPH, MI 49085

Berrien County (269) 985-4632

JORDAN ANDERSON

Occupational Therapist

1234 NAPIER AVE
SAINT JOSEPH, MI 49085

Berrien County (269) 983-8332

DR. KAREN J DYER M.D.

Pediatrics

1234 NAPIER AVE
SAINT JOSEPH, MI 49085

Berrien County (269) 985-4632

MR. NATHAN JOHN JORDAN MD

Radiology (Diagnostic Radiology)

1234 NAPIER AVE
ST JOSEPH, MI 49085

Berrien County (269) 983-8300

DR. JAMES G. SISAMIS MD

Anesthesiology

1234 NAPIER AVE
SAINT JOSEPH, MI 49085

Berrien County (269) 428-0118

DR. DIEGO P BETITA MD

Anesthesiology

1234 NAPIER AVE
SAINT JOSEPH, MI 49085

Berrien County (269) 428-0118

DR. JESSICA LYNN HAMILL SCHINDLER D.O.

Emergency Medicine

1234 NAPIER AVE, LAKELAND REGIONAL MEDICAL CENTER
SAINT JOSEPH, MI 49085

Berrien County (269) 982-4941

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patricia Mccarthy's NPI number?

The NPI number for Patricia Mccarthy is 1508140229. It was assigned to this individual provider in the NPPES registry on September 29, 2011.

Where is Patricia Mccarthy located?

Patricia Mccarthy practices at 1234 Napier Ave, Saint Joseph, MI 49085. The listed phone number is (269) 982-5864.

What is Patricia Mccarthy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Patricia Mccarthy enrolled in Medicare?

Yes. Patricia Mccarthy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Patricia Mccarthy accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Patricia Mccarthy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Patricia Mccarthy affiliated with any hospitals?

According to CMS data, Patricia Mccarthy is affiliated with Lakeland Hospital, St Joseph and Corewell Health Watervliet Hospital.

When was this NPI record last updated?

The NPPES record for Patricia Mccarthy was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.