JAMIE N SIMONEAU RN/CS
NPI 1609103662
Clinical Nurse Specialist - Psychiatric/Mental Health in Worcester, MA

NPI Status: Active since November 12, 2009

Contact Information

279 LINCOLN ST
UMASS MEMORIAL MED CTR, AMBULATORY PSYCHIATRY SERVICE
WORCESTER, MA
ZIP 01605
Phone: (508) 334-2537
Fax: (508) 334-3000

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Table of Contents

NPI Profile Information
Primary Taxonomy
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Clinical Nurse Specialist
Psychiatric/Mental Health
PECOS Enrolled
Opted-Out Medicare

About JAMIE SIMONEAU

This page provides the complete NPI Profile along with additional information for Jamie Simoneau, a provider established in Worcester, Massachusetts with a medical specialization in Clinical Nurse Specialist, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1609103662 assigned on November 2009. The practitioner's primary taxonomy code is 364SP0808X with license number RN266987 (MA). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI: 1609103662
Provider Name: JAMIE N SIMONEAU RN/CS
Gender: Female
Entity Type: Individual
Location Address: 279 LINCOLN ST UMASS MEMORIAL MED CTR, AMBULATORY PSYCHIATRY SERVICE WORCESTER, MA 01605
Location Phone: (508) 334-2537
Location Fax: (508) 334-3000
Mailing Address: 279 LINCOLN ST UMASS MEMORIAL MED CTR, AMBULATORY PSYCHIATRY SERVICE WORCESTER, MA 01605
Mailing Phone: (508) 334-2537
Mailing Fax: (508) 334-3000
Is Sole Proprietor?: No
Enumeration Date: 11-12-2009
Last Update Date: 10-10-2014
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A Clinical Nurse Specialist (CNS) like Jamie Simoneau is a type of advanced practice registered nurse (APRN) that provides direct patient care in various nursing specialties, including pediatrics or psychiatric-mental health. CNSs collaborate with other nurses and medical professionals to improve patient care quality. CNSs are often positioned in leadership roles where they may provide education and mentorship to other nursing personnel. Additionally, CNSs may also conduct research and advocate for certain healthcare policies.

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. Jamie Simoneau opted out of Medicare effective on 05-31-2023 until 05-31-2025. 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: Clinical Nurse Specialist Psychiatric/Mental Health
Taxonomy Code: 364SP0808X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: RN266987
License State: MA

Medicare Participation & PECOS Enrollment Status

Jamie Simoneau 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
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 05-31-2023
Opt-Out End Date: 05-31-2025
Eligible to Order and Refer? No
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 01605 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

Average New Patient Price $134.47
Minimum New Patient Price $58.86
Maximum New Patient Price $177.36

Average New Patient Copayment $33.61
Minimum New Patient Copayment $14.71
Maximum New Patient Copayment $44.34

Established Patients Visit Costs *

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

Average Established Patient Price $103.48
Minimum Established Patient Price $19.11
Maximum Established Patient Price $144.84

Average Established Patient Copayment $25.87
Minimum Established Patient Copayment $4.77
Maximum Established Patient Copayment $36.21

* 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.

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	6	0	9	1	0	3	6	6	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	0	9	2	0	6	6	12
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 2 + 0 + 6 + 6 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2									2

The NPI number 1609103662 is valid because the calculated check digit 2 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.

DR. GERALD S GLEICH M.D.

Family Medicine

279 LINCOLN ST
WORCESTER, MA
ZIP 01605

About JAMIE SIMONEAU

Location Map

Specialty - Primary Taxonomy

Clinical Nurse Specialist Psychiatric/Mental Health

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

Opted-Out of Medicare? Yes

Opt-Out Effective Date: 05-31-2023

Opt-Out End Date: 05-31-2025

Eligible to Order and Refer? No

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

New Patients Visit Costs *

Established Patients Visit Costs *

Reviews for JAMIE N SIMONEAU RN/CS

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

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