ALBERTO RODOLFO NAVA VARGAS FNP-C
NPI 1669963765
Nurse Practitioner - Family in Munster, IN

NPI Status: Active since May 23, 2018

Contact Information

901 MACARTHUR BLVD
MUNSTER, IN
ZIP 46321
Phone: (219) 836-1600

Get Directions Write a Review

  • Individual
  • Male
  • Nurse Practitioner
  • Family
  • Accepts Insurance
  • PECOS Enrolled

About ALBERTO NAVA VARGAS

This page provides the complete NPI Profile along with additional information for Alberto Nava Vargas, a provider established in Munster, Indiana with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1669963765 assigned on May 2018. The practitioner's primary taxonomy code is 363LF0000X with license number 71009967A (IN). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1669963765
Provider Name
ALBERTO RODOLFO NAVA VARGAS FNP-C
Gender
Male
Entity Type
Individual
Location Address
901 MACARTHUR BLVD MUNSTER, IN 46321
Location Phone
(219) 836-1600
Mailing Address
17819 WALTER ST LANSING, IL 60438
Is Sole Proprietor?
No
Enumeration Date
05-23-2018
Last Update Date
04-23-2020
Code Navigator

A nurse practitioner (NP) like Alberto Nava Vargas 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

Secondary Locations

  • 5841 S Maryland Ave Ste E500
    Chicago, IL 60637
    (773) 834-4090

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 Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
71009967A
License State
IN

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

209017691 (IL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Alberto Nava Vargas 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: Durable Medical Equipment (DME) 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: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Critical care, first 30-74 minutes

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

This service was performed 19 times for 18 patients

Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes

This is a routine visit for established patients residing in care facilities like nursing homes or assisted living. The visit typically lasts about 40 minutes, during which the healthcare provider checks your overall health, discusses any concerns, and adjusts care plans as needed.

This service was performed 41 times for 31 patients

Extended patient service without direct patient contact, first hour

Extended patient service without direct contact refers to a healthcare service where professionals spend time reviewing your health records, consulting with other providers, or planning your care without you being present, for the first hour.

This service was performed 16 times for 14 patients

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 46321 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $82.04
  • Minimum New Patient Price $53.07
  • Maximum New Patient Price $161.76
  • Average New Patient Copayment $20.51
  • Minimum New Patient Copayment $13.26
  • Maximum New Patient Copayment $40.44

Established Patients Visit Costs *

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

  • Average Established Patient Price $94.22
  • Minimum Established Patient Price $16.93
  • Maximum Established Patient Price $132.22
  • Average Established Patient Copayment $23.55
  • Minimum Established Patient Copayment $4.23
  • Maximum Established Patient Copayment $33.05

* 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 ALBERTO RODOLFO NAVA VARGAS FNP-C

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1669963765, 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 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 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
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 6 → 12 → 3 9 → 18 → 9 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 2 + 9 + 1 + 8 + 6 + 6 + 7 + 1 + 2 + 24 = 75

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

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1669963765.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
901 MACARTHUR BLVD, RADIOLOGY DEPARTMENT
MUNSTER, IN 46321
Radiology (Diagnostic Radiology)
901 MACARTHUR BLVD, MUNSTER RADIOLOGY GROUP
MUNSTER, IN 46321
Radiology (Diagnostic Radiology)
901 MACARTHUR BLVD, MUNSTER RADIOLOGY GROUP
MUNSTER, IN 46321
Radiology (Diagnostic Radiology)
901 MACARTHUR BLVD, MUNSTER RADIOLOGY GROUP
MUNSTER, IN 46321
Radiology (Diagnostic Radiology)
901 MACARTHUR BLVD, MUNSTER RADIOLOGY GROUP
MUNSTER, IN 46321
Radiology (Diagnostic Radiology)
901 MACARTHUR BLVD, MUNSTER RADIOLOGY GROUP
MUNSTER, IN 46321
Radiology (Diagnostic Radiology)
901 MACARTHUR BLVD, MUNSTER RADIOLOGY GROUP
MUNSTER, IN 46321
Nuclear Medicine
901 MACARTHUR BLVD, MUNSTER RADIOLOGY GROUP
MUNSTER, IN 46321
Radiology (Diagnostic Radiology)
901 MACARTHUR BLVD, MUNSTER RADIOLOGY GROUP
MUNSTER, IN 46321
Radiology (Diagnostic Radiology)
901 MACARTHUR BLVD, MUNSTER RADIOLOGY GROUP
MUNSTER, IN 46321
Radiology (Diagnostic Radiology)
901 MACARTHUR BLVD, MUNSTER RADIOLOGY GROUP
MUNSTER, IN 46321
Radiology (Diagnostic Radiology)
901 MACARTHUR BLVD, MUNSTER RADIOLOGY GROUP
MUNSTER, IN 46321
Radiology (Diagnostic Radiology)
901 MACARTHUR BLVD, MUNSTER RADIOLOGY GROUP
MUNSTER, IN 46321
Radiology (Diagnostic Radiology)
901 MACARTHUR BLVD, MUNSTER RADIOLOGY GROUP
MUNSTER, IN 46321
Pediatrics (Neonatal-Perinatal Medicine)
901 MACARTHUR BLVD, NEONATOLOGY DEPARTMENT
MUNSTER, IN 46321
Emergency Medicine
901 MACARTHUR BLVD
MUNSTER, IN 46321
Emergency Medicine
901 MACARTHUR BLVD
MUNSTER, IN 46321
Emergency Medicine
901 MACARTHUR BLVD
MUNSTER, IN 46321
Emergency Medicine
901 MACARTHUR BLVD
MUNSTER, IN 46321
Emergency Medicine
901 MACARTHUR BLVD
MUNSTER, IN 46321

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669963765, enumerated as an "individual" on May 23, 2018.

The provider is located at 901 MACARTHUR BLVD MUNSTER, IN 46321 and the phone number is (219) 836-1600.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.