KAREN M LAIRD FNP-C NPI 1609008655

Nurse Practitioner (Family) in Harker Heights, TX

NPI 1609008655 Individual Female Nurse Practitioner Family MIPS Quality Score 95.2

NPI Profile for KAREN M LAIRD FNP-C

Karen Laird is a provider established in Harker Heights, Texas and her medical specialization is nurse practitioner (family) . The NPI number of Karen Laird is 1609008655 and was assigned on August 2009. The practitioner's primary taxonomy code is 363LF0000X with license number 612814 (TX). The provider is registered as an individual and her NPI record was last updated 5 years ago.

A nurse practitioner (NP) like Karen M Laird Fnp-c 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.

Karen Laird is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.2, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

NPI

1609008655

Provider Name KAREN M LAIRD FNP-C
Provider Location Address200 NOLA RUTH BLVD HARKER HEIGHTS, TX 76548
Provider Mailing Address205 E UNIVERSITY AVE STE 200 GEORGETOWN, TX 78626
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date08-10-2009
Last Update Date02-02-2017


Primary Taxonomy

Taxonomy Code363LF0000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily
License No.612814
License StateTX

Business Address

KAREN M LAIRD FNP-C
200 NOLA RUTH BLVD
HARKER HEIGHTS, TX
ZIP 76548
Phone: (877) 800-5722
Fax: (254) 698-1673

Get Directions


Mailing Address

KAREN M LAIRD FNP-C
205 E UNIVERSITY AVE STE 200
GEORGETOWN, TX
ZIP 78626
Phone: (877) 800-5727
Fax: (512) 257-1763



Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 77.9
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 95.2
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3100083-01MEDICAID (05)TX
TXB110740MEDICARE UPIN (02)TX
AP118043OTHER (01)TXLICENSE

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1609008655
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26090016610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 0 + 0 + 1 + 6 + 6 + 1 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1609008655 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629078506DR. LUTHER STREET M.D.
Individual
Pediatrics200 NOLA RUTH BLVD
HARKER HEIGHTS, TX 76548
(254) 698-6629
1235139056DR. RAY MONROE JOHNSON M.D.
Individual
Pediatrics200 NOLA RUTH BLVD
HARKER HEIGHTS, TX 76548
(254) 698-6628
1053481390 DENISE MARIE DHAWAN M.D.
Individual
Pediatrics (Adolescent Medicine)200 NOLA RUTH BLVD
HARKER HEIGHTS, TX 76548
(254) 698-6629
1386607992 MARK ERIC TERWILLIGER CPNP
Individual
Nurse Practitioner (Pediatrics)200 NOLA RUTH BLVD
HARKER HEIGHTS, TX 76548
(877) 800-5722
1942665427 RUBI RAMIREZ PNP-PC
Individual
Nurse Practitioner (Pediatrics)200 NOLA RUTH BLVD
HARKER HEIGHTS, TX 76548
(877) 800-5722
1710284542LONE STAR CIRCLE OF CARE
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))200 NOLA RUTH BLVD
HARKER HEIGHTS, TX 76548
(877) 800-5722
1639121072 MURALI VATHADA MD
Individual
Pediatrics200 NOLA RUTH BLVD
HARKER HEIGHTS, TX 76548
(877) 800-5722
1417095639FAMILY & CHILDREN'S CLINIC, PA
Organization
Pediatrics200 NOLA RUTH BLVD
HARKER HEIGHTS, TX 76548
(254) 698-6629
1356359814 YASMEEN ALI MD
Individual
Pediatrics200 NOLA RUTH BLVD
HARKER HEIGHTS, TX 76548
(877) 800-5722
1457901639MRS. CARLA DAVIS APRN
Individual
Nurse Practitioner (Pediatrics)200 NOLA RUTH BLVD
HARKER HEIGHTS, TX 76548
(877) 800-5722
1013171412DR. EZHILARASI MANICKAVASAGAM M.D
Individual
Pediatrics200 NOLA RUTH BLVD
HARKER HEIGHTS, TX 76548
(877) 800-5722
1700101359 KOFOWOROLA OHIOMOBA
Individual
Pediatrics200 NOLA RUTH BLVD
HARKER HEIGHTS, TX 76548
(877) 800-5722
1851822787 MYRIAM ANDREA GARLAND
Individual
General Practice200 NOLA RUTH BLVD
HARKER HEIGHTS, TX 76548
(877) 800-5722

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
Karen M Laird Fnp-c 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.