KARLA M NAVARRO-VEGA PA-C
NPI 1649890625
Physician Assistant in Rockford, IL
NPI Status: Active since April 20, 2020
Contact Information
1200 W STATE ST
ROCKFORD, IL
ZIP 61102
Phone: (815) 490-1600
Fax: (815) 490-1881
- Individual
- Female
- Physician Assistant
- Accepts Insurance
- PECOS Enrolled
About KARLA NAVARRO-VEGA
This page provides the complete NPI Profile along with additional information for Karla Navarro-vega, a primary care provider established in Rockford, Illinois with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1649890625 assigned on April 2020. The practitioner's primary taxonomy code is 363A00000X with license number 085008166 (IL). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1649890625
- Provider Name
- KARLA M NAVARRO-VEGA PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1200 W STATE ST ROCKFORD, IL 61102
- Location Phone
- (815) 490-1600
- Location Fax
- (815) 490-1881
- Mailing Address
- 1200 W STATE ST ROCKFORD, IL 61102
- Mailing Phone
- (815) 490-1600
- Mailing Fax
- (815) 490-1881
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-20-2020
- Last Update Date
- 02-03-2021
- Code Navigator
A primary care provider (PCP) like Karla Navarro-vega sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 085008166
- License State
- IL
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
- 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
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Karla Navarro-vega 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 61102 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 99213
- Average Established Patient Price $68.64
- Minimum Established Patient Price $17.16
- Maximum Established Patient Price $136.56
- Average Established Patient Copayment $17.16
- 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.
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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 | 6 | 4 | 9 | 8 | 9 | 0 | 6 | 2 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 16 | 9 | 0 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 1 + 6 + 9 + 0 + 6 + 4 + 24 = 75 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 75 = 5 | 5 | ||||||||
The NPI number 1649890625 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 20 providers are registered at the same or nearby location.
STEVEN F ZIELINSKI RPH
Pharmacist
1200 W STATE ST
ROCKFORD, IL
ZIP 61102
DR. JOHN WALL MD
Family Medicine
1200 W STATE ST
ROCKFORD, IL
ZIP 61102
DR. RAQUEL MALABANAN MD
Pediatrics
1200 W STATE ST
ROCKFORD, IL
ZIP 61102
ELIZABETH BLAIR APN
Nurse Practitioner
(Family)
1200 W STATE ST
ROCKFORD, IL
ZIP 61102
GORDON EGGERS
Physician Assistant
1200 W STATE ST
ROCKFORD, IL
ZIP 61102
DR. SUMA RAO MD
Internal Medicine
(Infectious Disease)
1200 W STATE ST
ROCKFORD, IL
ZIP 61102
DR. LARRY SY MD
Internal Medicine
1200 W STATE ST
ROCKFORD, IL
ZIP 61102
DR. EDWIN OKESON MD
Family Medicine
1200 W STATE ST
ROCKFORD, IL
ZIP 61102
MARY BROWN MD
Internal Medicine
1200 W STATE ST
ROCKFORD, IL
ZIP 61102
JAN SIMONE APN
Nurse Practitioner
(Women's Health)
1200 W STATE ST
ROCKFORD, IL
ZIP 61102
MS. CARRIE M. BLASER APNP
Nurse Practitioner
(Pediatrics)
1200 W STATE ST
ROCKFORD, IL
ZIP 61102
HOLLY JANE BARTMAN DDS
Dentist
1200 W STATE ST
ROCKFORD, IL
ZIP 61102
JONATHAN D HOPMAN PA-C
Physician Assistant
1200 W STATE ST
ROCKFORD, IL
ZIP 61102
CHRISTINA MARIE CRUM PA-C
Physician Assistant
1200 W STATE ST
ROCKFORD, IL
ZIP 61102
MR. MARTIN A GANAN RPH
Pharmacist
1200 W STATE ST
PHARMACY
ROCKFORD, IL
ZIP 61102
DR. DINA GIRGIS D.D.S.
Dentist
1200 W STATE ST
ROCKFORD, IL
ZIP 61102
DR. EDMOND MERTZENICH DPM
Podiatrist
1200 W STATE ST
ROCKFORD, IL
ZIP 61102
DR. ANSELMA RAMILO MD
Pediatrics
1200 W STATE ST
ROCKFORD, IL
ZIP 61102
DR. PATRICK WOODS DDS
Dentist
(General Practice)
1200 W STATE ST
ROCKFORD, IL
ZIP 61102
MRS. JENNIFER MARIE DOBSON C.N.M.
Advanced Practice Midwife
1200 W STATE ST
ROCKFORD, IL
ZIP 61102
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649890625, enumerated as an "individual" on April 20, 2020.
The provider is located at 1200 W STATE ST ROCKFORD, IL 61102 and the phone number is (815) 490-1600.
Physician Assistant with taxonomy code 363A00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois and Molina. Please consult your insurance carrier or call the provider to verify.
