ANDREA ROSA RN
NPI 1528449337
Nurse Practitioner - Psychiatric/Mental Health in Ellenville, NY
NPI Status: Active since June 17, 2015
- Individual
- Female
- Years of Experience 9
- Nurse Practitioner
- Psychiatric/Mental Health
- PECOS Enrolled
- Accepts Medicare Approved Payment
About ANDREA ROSA
Andrea Rosa is a provider established in Ellenville, New York and her medical specialization is Nurse Practitioner with a focus in psychiatric/mental health with more than 9 years of experience. She graduated from State University Of New York At Stony Brook, School Of Medicine in 2015. The healthcare provider is registered in the NPI registry with number 1528449337 assigned on June 2015. The practitioner's primary taxonomy code is 363LP0808X with license number 40 401885 (NY). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1528449337
- Provider Name
- ANDREA ROSA RN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6 HEALTHY WAY ELLENVILLE, NY 12428
- Location Phone
- (845) 647-4500
- Mailing Address
- 6 HEALTHY WAY ELLENVILLE, NY 12428
- Mailing Phone
- (845) 647-4500
- Mailing Fax
- Medical School Name
- STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
- Graduation Year
- 2015
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-17-2015
- Last Update Date
- 03-23-2016
- Code Navigator
A nurse practitioner (NP) like Andrea Rosa 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.
Andrea Rosa is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
The typical physician office visit costs for Medicare beneficiaries in this area are: $24.83 for a new patient copayment and $28.47 for an established patient copayment.
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.
- 40 401885
- License State
- NY
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) |
---|---|---|---|---|
1 | 163WP0808X | Nursing Service Providers | Registered Nurse | 22 592226 (NY) |
PECOS Enrollment and Medicare Participation Status
Andrea Rosa 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: 6406155977
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: I20160504002492
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? Yes
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
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 12428 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $99.33
- Minimum New Patient Price $64.72
- Maximum New Patient Price $195.4
- Average New Patient Copayment $24.83
- Minimum New Patient Copayment $16.18
- Maximum New Patient Copayment $48.85
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $113.91
- Minimum Established Patient Price $20.12
- Maximum Established Patient Price $159.01
- Average Established Patient Copayment $28.47
- Minimum Established Patient Copayment $5.03
- Maximum Established Patient Copayment $39.75
* 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. | |||||||||
1 | 5 | 2 | 8 | 4 | 4 | 9 | 3 | 3 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 4 | 8 | 8 | 4 | 18 | 3 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 5 + 4 + 8 + 8 + 4 + 1 + 8 + 3 + 6 + 24 = 73 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 73 = 7 | 7 |
The NPI number 1528449337 is valid because the calculated check digit 7 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 |
---|---|---|---|
1326114174 | DR. WILBERT WILLIAMS MD Individual | Family Medicine | 6 HEALTHY WAY ELLENVILLE, NY 12428 (845) 647-4500 |
1164756821 | ELIZABETH MITCHELL LMSW Individual | Social Worker | 6 HEALTHY WAY ELLENVILLE, NY 12428 (845) 647-4500 |
1447526728 | DR. JESSICA ANN LINK MD Individual | Student in an Organized Health Care Education/Training Program | 6 HEALTHY WAY ELLENVILLE, NY 12428 (845) 647-4500 |
1518358936 | LYNN LEIBOWITZ-WHITEHEAD LMSW Individual | Social Worker (Clinical) | 6 HEALTHY WAY ELLENVILLE, NY 12428 (845) 647-4500 |
1114310588 | MS. DASHA MILLER LMSW Individual | Social Worker (Clinical) | 6 HEALTHY WAY ELLENVILLE, NY 12428 (845) 647-4500 |
1598147258 | TRISSA JAYNE ADAMS PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 6 HEALTHY WAY ELLENVILLE, NY 12428 (845) 647-4500 |
1194197913 | TENISE WALL LMSW Individual | Social Worker | 6 HEALTHY WAY ELLENVILLE, NY 12428 (845) 647-4500 |
1346505740 | ELLISA ROBIN MIMLITSCH LMSW, CASACT Individual | Social Worker | 6 HEALTHY WAY ELLENVILLE, NY 12428 (845) 647-4500 |
1154846046 | SIMON THRASHER Individual | Social Worker | 6 HEALTHY WAY ELLENVILLE, NY 12428 (845) 647-4500 |
1801389606 | SADIA HUSSAIN MD Individual | Student in an Organized Health Care Education/Training Program | 6 HEALTHY WAY ELLENVILLE, NY 12428 (845) 647-4500 |
1336265826 | MS. IRIS C. RUBIN NP Individual | Nurse Practitioner (Family) | 6 HEALTHY WAY ELLENVILLE, NY 12428 (845) 647-4500 |
1659725992 | MATTHEW SEIFFERT M.D. Individual | Family Medicine | 6 HEALTHY WAY ELLENVILLE, NY 12428 (845) 647-4500 |
1780040857 | AMY BARACKS MSW Individual | Social Worker (Clinical) | 6 HEALTHY WAY ELLENVILLE, NY 12428 (845) 647-4500 |
1821619255 | ANITA VENKATESAN MD Individual | Student in an Organized Health Care Education/Training Program | 6 HEALTHY WAY ELLENVILLE, NY 12428 (845) 647-4500 |
1487235107 | LOVONNE BROWN MD Individual | Student in an Organized Health Care Education/Training Program | 6 HEALTHY WAY ELLENVILLE, NY 12428 (845) 647-4500 |
1134700867 | SMITA SINHA MD Individual | Student in an Organized Health Care Education/Training Program | 6 HEALTHY WAY ELLENVILLE, NY 12428 (845) 645-4500 |
1245973981 | MATTHEW BETSCHART DO Individual | Student in an Organized Health Care Education/Training Program | 6 HEALTHY WAY ELLENVILLE, NY 12428 (845) 647-4500 |
1386382547 | ALONDRA LEREBOURS-ONATE MD Individual | Student in an Organized Health Care Education/Training Program | 6 HEALTHY WAY ELLENVILLE, NY 12428 (845) 647-4500 |
1245967629 | ERIN KAIRIS LMSW Individual | Counselor | 6 HEALTHY WAY ELLENVILLE, NY 12428 (845) 647-4500 |
1477088656 | MUHAMMAD IQBAL M.D. Individual | Family Medicine | 6 HEALTHY WAY ELLENVILLE, NY 12428 (845) 647-4500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528449337, enumerated in the NPI registry as an "individual" on June 17, 2015
The provider is located at 6 Healthy Way Ellenville, Ny 12428 and the phone number is (845) 647-4500
The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health
The provider has more than 9 years of experience. She graduated from State University Of New York At Stony Brook, School Of Medicine in 2015.
Yes, as of May 10, 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 $99.33 with an average copayment of $24.83 for new patient appointments. Established patients should expect a typical charge of $113.91 and an average copayment of 28.47. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 17, 2015. 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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