ALISON W. VANDER LEY CNP
NPI 1568854511
Nurse Practitioner - Pediatrics in Quincy, IL
NPI Status: Active since February 28, 2015
Contact Information
1025 MAINE ST
QUINCY, IL
ZIP 62301
Phone: (217) 222-6550
- Individual
- Female
- Nurse Practitioner
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About ALISON VANDER LEY
This page provides the complete NPI Profile along with additional information for Alison Vander Ley, a provider established in Quincy, Illinois with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1568854511 assigned on February 2015. The practitioner's primary taxonomy code is 363LP0200X with license number 209012623 (IL). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1568854511
- Provider Name
- ALISON W. VANDER LEY CNP
- Other Name
- ALISON W. KUZMICH
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1025 MAINE ST QUINCY, IL 62301
- Location Phone
- (217) 222-6550
- Mailing Address
- 1025 MAINE ST QUINCY, IL 62301
- Mailing Phone
- (217) 222-6550
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-28-2015
- Last Update Date
- 04-08-2015
- Code Navigator
A nurse practitioner (NP) like Alison Vander Ley 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 Pediatrics
- Taxonomy Code
- 363LP0200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 209012623
- License State
- IL
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
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 |
|---|---|---|---|
| F400202660 | MEDICARE PIN (08) | IL |
Medicare Participation & PECOS Enrollment Status
Alison Vander Ley 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
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 62301 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.71
- Minimum New Patient Price $54.8
- Maximum New Patient Price $168.44
- Average New Patient Copayment $21.42
- Minimum New Patient Copayment $13.7
- Maximum New Patient Copayment $42.11
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.25
- Minimum Established Patient Price $17.16
- Maximum Established Patient Price $136.56
- Average Established Patient Copayment $24.31
- Minimum Established Patient Copayment $4.29
- Maximum Established Patient Copayment $34.14
* 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.
Reviews for ALISON W. VANDER LEY CNP
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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 | 6 | 8 | 8 | 5 | 4 | 5 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 16 | 5 | 8 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 1 + 6 + 5 + 8 + 5 + 2 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1568854511 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.
TAWNY L. ALLEN DO
Family Medicine
1025 MAINE ST
QUINCY, IL
ZIP 62301
GREGORY R ANDREWS MD
Internal Medicine
1025 MAINE ST
QUINCY, IL
ZIP 62301
DANA B ALTMAN DO
Family Medicine
1025 MAINE ST
QUINCY, IL
ZIP 62301
DAVID F. ARNDT DO
Family Medicine
1025 MAINE ST
QUINCY, IL
ZIP 62301
M. KAZEM ATTAI MD
Urology
1025 MAINE ST
QUINCY, IL
ZIP 62301
GARY B. CARPENTER MD
Allergy & Immunology
1025 MAINE ST
QUINCY, IL
ZIP 62301
GEORGE E. CRICKARD III MD
Orthopaedic Surgery
1025 MAINE ST
QUINCY, IL
ZIP 62301
JOHN M BOZDECH MD
Internal Medicine
(Gastroenterology)
1025 MAINE ST
QUINCY, IL
ZIP 62301
JOHN T BARBAGIOVANNI DO
Internal Medicine
(Gastroenterology)
1025 MAINE ST
QUINCY, IL
ZIP 62301
WILLIAM J. HOLT M.D.
Orthopaedic Surgery
1025 MAINE ST
QUINCY, IL
ZIP 62301
JEAN A. DISSELER M.D.
Ophthalmology
1025 MAINE ST
QUINCY, IL
ZIP 62301
PETER M. DURESKA M.D.
Obstetrics & Gynecology
1025 MAINE ST
QUINCY, IL
ZIP 62301
ARTHUR M. DYKSTRA D.O.
Family Medicine
1025 MAINE ST
QUINCY, IL
ZIP 62301
ELDON L. FRAZIER M.D.
Family Medicine
1025 MAINE ST
QUINCY, IL
ZIP 62301
DENNIS E. GO M.D.
Pediatrics
1025 MAINE ST
QUINCY, IL
ZIP 62301
MARVIN I. GROTE M.D.
Urology
1025 MAINE ST
QUINCY, IL
ZIP 62301
SHARON G. HARRIS M.D.
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
1025 MAINE ST
QUINCY, IL
ZIP 62301
LINDA M JOHNSON M.D.
Psychiatry & Neurology
(Neurology)
1025 MAINE ST
QUINCY, IL
ZIP 62301
KURT L LEIMBACH M.D.
Internal Medicine
1025 MAINE ST
QUINCY, IL
ZIP 62301
JOSEPH P NEWTON DO
Neuromusculoskeletal Medicine & OMM
1025 MAINE ST
QUINCY, IL
ZIP 62301
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568854511, enumerated as an "individual" on February 28, 2015.
The provider is located at 1025 MAINE ST QUINCY, IL 62301 and the phone number is (217) 222-6550.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
