MS. SHARON LYNN PEARCE
NPI 1558736355
Nurse Practitioner - Community Health in Dolgeville, NY

NPI Status: Active since December 04, 2015

Contact Information

9 GIBSON ST
DOLGEVILLE, NY
ZIP 13329
Phone: (315) 429-8714
Fax: (315) 823-2516

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  • Individual
  • Female
  • Nurse Practitioner
  • Community Health
  • PECOS Enrolled

About SHARON PEARCE

This page provides the complete NPI Profile along with additional information for Sharon Pearce, a provider established in Dolgeville, New York with a medical specialization in Nurse Practitioner, focusing in community health . The healthcare provider is registered in the NPI registry with number 1558736355 assigned on December 2015. The practitioner's primary taxonomy code is 363LC1500X with license number 320085 (NY). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1558736355
Provider Name
MS. SHARON LYNN PEARCE
Gender
Female
Entity Type
Individual
Location Address
9 GIBSON ST DOLGEVILLE, NY 13329
Location Phone
(315) 429-8714
Location Fax
(315) 823-2516
Mailing Address
140 BURWELL ST LITTLE FALLS, NY 13365
Mailing Phone
(315) 823-1000
Mailing Fax
(315) 823-2516
Is Sole Proprietor?
No
Enumeration Date
12-04-2015
Last Update Date
12-04-2015
Code Navigator

A nurse practitioner (NP) like Sharon Pearce 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 Community Health

Taxonomy Code
363LC1500X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
320085
License State
NY

Medicare Participation & PECOS Enrollment Status

Sharon Pearce 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

  • 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

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Unknown

  • Treatment-Treatment - Miscellaneous (RX029N)

    Tacrolimus, immediate release, oral, 1 mg (HCPCS:J7507)

    1 DME suppliers used 11 Medicare Claims 990 Services Paid

  • Treatment-Treatment - Miscellaneous (RX029N)

    Mycophenolic acid, oral, 180 mg (HCPCS:J7518)

    1 DME suppliers used 13 Medicare Claims 1170 Services Paid

  • Treatment-Treatment - Miscellaneous (RX029N)

    Sirolimus, oral, 1 mg (HCPCS:J7520)

    1 DME suppliers used 11 Medicare Claims 825 Services Paid

  • Treatment-Chemotherapy (RH012N)

    Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period (HCPCS:Q0511)

    1 DME suppliers used 11 Medicare Claims 11 Services Paid

  • Treatment-Chemotherapy (RH012N)

    Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period (HCPCS:Q0512)

    1 DME suppliers used 24 Medicare Claims 24 Services Paid

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 13329 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.93
  • Minimum New Patient Price $54.87
  • Maximum New Patient Price $166.88
  • Average New Patient Copayment $21.23
  • Minimum New Patient Copayment $13.71
  • Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $97.08
  • Minimum Established Patient Price $17.54
  • Maximum Established Patient Price $136.14
  • Average Established Patient Copayment $24.27
  • Minimum Established Patient Copayment $4.38
  • Maximum Established Patient Copayment $34.03

* 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 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 1558736355, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 5 → 10 → 1 7 → 14 → 5 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 0 + 8 + 1 + 4 + 3 + 1 + 2 + 3 + 1 + 0 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1558736355.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558736355, enumerated as an "individual" on December 04, 2015.

The provider is located at 9 GIBSON ST DOLGEVILLE, NY 13329 and the phone number is (315) 429-8714.

Nurse Practitioner with taxonomy code 363LC1500X and a focus in Community Health.