MRS. AMANDA JAYNE CALDWELL M.A.
NPI 1548337157
Case Manager/Care Coordinator in San Jose, CA
NPI Status: Active since November 29, 2006
Contact Information
232 E GISH RD
SAN JOSE, CA
ZIP 95112
Phone: (408) 876-4214
Fax: (408) 876-4230
- Individual
- Female
- Case Manager/Care Coordinator
- Opted-Out Medicare
About AMANDA CALDWELL
This page provides the complete NPI Profile along with additional information for Amanda Caldwell, a provider established in San Jose, California with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1548337157 assigned on November 2006. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1548337157
- Provider Name
- MRS. AMANDA JAYNE CALDWELL M.A.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 232 E GISH RD SAN JOSE, CA 95112
- Location Phone
- (408) 876-4214
- Location Fax
- (408) 876-4230
- Mailing Address
- 232 E GISH RD SAN JOSE, CA 95112
- Mailing Phone
- (408) 876-4214
- Mailing Fax
- (408) 876-4230
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-29-2006
- Last Update Date
- 07-08-2007
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Amanda Caldwell opted out of Medicare effective on 02-06-2024 until 02-06-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
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
Case Manager/Care Coordinator
- Taxonomy Code
- 171M00000X
- Type
- Other Service Providers
- Taxonomy Description
- A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
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 |
|---|---|---|---|
| 4690 | OTHER (01) | CA | COUNTY ID |
Medicare Participation & PECOS Enrollment Status
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.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 02-06-2024
Opt-Out End Date: 02-06-2026
Eligible to Order and Refer? No
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NPI 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 1548337157, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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 63 is 70. 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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548337157, enumerated as an "individual" on November 29, 2006.
The provider is located at 232 E GISH RD SAN JOSE, CA 95112 and the phone number is (408) 876-4214.
Case Manager/Care Coordinator with taxonomy code 171M00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
