MRS. MARY CLAIRE WAHL C.N.M. NPI 1558343111
Advanced Practice Midwife in Usaf Academy, CO

Individual Female Years of Experience 30 Advanced Practice Midwife PECOS Enrolled Accepts Medicare Approved Payment

About MRS. MARY CLAIRE WAHL C.N.M.

Mary Wahl is a provider established in Usaf Academy, Colorado and her medical specialization is Advanced Practice Midwife with more than 30 years of experience. The NPI number of Mary Wahl is 1558343111 and was assigned on November 2005. The practitioner's primary taxonomy code is 367A00000X. The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1558343111
Provider NameMRS. MARY CLAIRE WAHL C.N.M.
Location Address4102 PINION DR USAF ACADEMY, CO 80840
Location Phone(719) 333-5063
Mailing Address4102 PINION DR USAF ACADEMY, CO 80840
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1993
Is Sole Proprietor?No
Enumeration Date11-18-2005
Last Update Date03-01-2011

Mary Wahl 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 and Durable Medical Equipment (DME).

Mary Wahl is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare 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: $23.01 for a new patient copayment and $18.75 for an established patient copayment.



Primary Taxonomy

Taxonomy Code367A00000X
ClassificationAdvanced Practice Midwife
TypePhysician Assistants & Advanced Practice Nursing Providers
License StateCO
Taxonomy DescriptionMidwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM).

Business Address

MRS. MARY CLAIRE WAHL C.N.M.
4102 PINION DR
USAF ACADEMY, CO
ZIP 80840
Phone: (719) 333-5063

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Mailing Address

MRS. MARY CLAIRE WAHL C.N.M.
4102 PINION DR
USAF ACADEMY, CO
ZIP 80840
Phone: (719) 333-5063


Location Map

PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID9537385414
PECOS Enrollment IDI20140730000494
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 order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)No
Eligible order / refer Power Mobility DevicesNo

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 80840 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$60.06 $181 $92.04
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.01 $45.25 $23.01
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$18.98 $148.2 $75
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.74 $37.05 $18.75

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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.
1558343111
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2510864612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 0 + 8 + 6 + 4 + 6 + 1 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1558343111 is valid because the calculated check digit 1 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
1518963743DR. JOHN JOSEPH KUPKO II M.D.
Individual
Ophthalmology4102 PINION DR
U S A F ACADEMY, CO 80840
(719) 333-5680
1801889852 KIP ORLO KOEHLER M.S.P.T.
Individual
Physical Therapist4102 PINION DR
USAF ACADEMY, CO 80840
(719) 333-3107
1558350785DR. DAREN ROGER MEALER M.D.
Individual
Family Medicine4102 PINION DR DEPT. OF FAMILY MEDICINE
U S A F ACADEMY, CO 80840
(719) 333-2273
1457341174DR. JAMES S REITMAN II MD
Individual
Internal Medicine4102 PINION DR INTERNAL MEDICINE CLINIC/SGOMI
U S A F ACADEMY, CO 80840
(719) 333-4554
1649260985 TIMOTHY ALBERT DUNN DO
Individual
Radiology (Diagnostic Radiology)4102 PINION DR
U S A F ACADEMY, CO 80840
(719) 333-5107
1376524355 ANTON STEPHAN NESSE MD
Individual
Radiology (Diagnostic Radiology)4102 PINION DR
U S A F ACADEMY, CO 80840
(719) 333-5117
1245212927 ROBERT LOUIS TRAMALONI MD
Individual
Internal Medicine4102 PINION DR
U S A F ACADEMY, CO 80840
(719) 333-5962
1730161563 WILLIAM P ABRAHAM M.D.
Individual
Radiology (Diagnostic Radiology)4102 PINION DR SUITE 100
U S A F ACADEMY, CO 80840
(719) 333-5170
1982689162 TERRI SUE LOMENICK WHNP
Individual
Nurse Practitioner (Women's Health)4102 PINION DR
USAF ACADEMY, CO 80840
(719) 333-5063
1619953551DR. CHRISTIAN R BENJAMIN
Individual
Preventive Medicine (Aerospace Medicine)4102 PINION DR SUITE 100
U S A F ACADEMY, CO 80840
(719) 333-5180
1902884893 JEFFREY JAMES AUTREY O.D.
Individual
Optometrist4102 PINION DR
U S A F ACADEMY, CO 80840
(719) 333-7855
1386622082 NANCY GAIL PERRY DDS
Individual
Dentist4102 PINION DR
U S A F ACADEMY, CO 80840
(719) 333-5190
1013995778 KAY LYN NESS DDS
Individual
Dentist (Periodontics)4102 PINION DR
U S A F ACADEMY, CO 80840
(719) 333-5180
1265410955 DANA MICHELLE CANO LCSW
Individual
Social Worker (Clinical)4102 PINION DR
U S A F ACADEMY, CO 80840
(719) 333-2107
1699753004 PATRICIA GRACE MOSELEY LCSW
Individual
Social Worker (Clinical)4102 PINION DR
U S A F ACADEMY, CO 80840
(719) 333-1851
1144208331 MARK JOHN WELTER O.D.
Individual
Optometrist4102 PINION DR
U S A F ACADEMY, CO 80840
(719) 333-7921
1639157654 CRAIG SCOTT STEWART DDS
Individual
Dentist (General Practice)4102 PINION DR
U S A F ACADEMY, CO 80840
(719) 333-5190
1386624401 SARA MARIE TEUFERT-AUTREY MA-CCC-A
Individual
Audiologist4102 PINION DR SUITE 100
U S A F ACADEMY, CO 80840
(719) 333-4296
1881674331DR. PETER THOMAS WALSH M.D.
Individual
Preventive Medicine (Aerospace Medicine)4102 PINION DR
U S A F ACADEMY, CO 80840
(719) 333-5102
1225008493DR. SCOTT ANDREW JANUS D.O.
Individual
Anesthesiology4102 PINION DR 10 MDOS/SGOSA
U S A F ACADEMY, CO 80840
(719) 333-5691

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Mrs. Mary Claire Wahl C.n.m. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.