MRS. JULIE ANN KOERNER OTR/L NPI 1710187430

Occupational Therapist in Fargo, ND

NPI 1710187430 Individual Female Years of Experience 29 Occupational Therapist Accepts Medicare Approved Payment MIPS Quality Score 90.2

NPI Profile for MRS. JULIE ANN KOERNER OTR/L

Julie Koerner is a provider established in Fargo, North Dakota and her medical specialization is occupational therapist with more than 29 years of experience. The NPI number of Julie Koerner is 1710187430 and was assigned on July 2007. The practitioner's primary taxonomy code is 225X00000X with license number 546 (ND). The provider is registered as an individual and her NPI record was last updated 3 years ago. Julie Koerner is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 90.2, 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

1710187430

Provider NameMRS. JULIE ANN KOERNER OTR/L
Provider Location Address4450 31ST AVE S STE 104 FARGO, ND 58104
Provider Mailing Address4450 31ST AVE S STE 104 FARGO, ND 58104
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1994
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-20-2007
Last Update Date10-29-2019


Primary Taxonomy

Taxonomy Code225X00000X
ClassificationOccupational Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.546
License StateND
Taxonomy DescriptionAn occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Business Address

MRS. JULIE ANN KOERNER OTR/L
4450 31ST AVE S STE 104
FARGO, ND
ZIP 58104
Phone: (701) 451-9417
Fax: (701) 298-0066

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Mailing Address

MRS. JULIE ANN KOERNER OTR/L
4450 31ST AVE S STE 104
FARGO, ND
ZIP 58104
Phone: (701) 451-9417
Fax: (701) 298-0066



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

PECOS PAC ID2365708716
PECOS Enrollment IDI20171117001463
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

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% 87
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% N/A
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 - 90.2
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.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist101200MNNo

Taxonomy Description: an occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

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.
1710187430
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720281446
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 2 + 8 + 1 + 4 + 4 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1710187430 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215908876MR. TOM L BAUMGARTNER JR. MPT
Individual
Physical Medicine & Rehabilitation4450 31ST AVE S STE 104
FARGO, ND 58104
(701) 451-9417
1548240104MR. LYNDEN H KURTZ PT
Individual
Physical Medicine & Rehabilitation4450 31ST AVE S STE 104
FARGO, ND 58104
(701) 451-9417
1750361002MRS. HEATHER ENGLAND DPT
Individual
Physical Medicine & Rehabilitation4450 31ST AVE S STE 104
FARGO, ND 58104
(701) 451-9417
1215014105PROFESSIONAL REHABILITATION CENTER INC
Organization
Physical Therapist4450 31ST AVE S STE 104
FARGO, ND 58104
(701) 451-9417
1992851695 JESSICA M BAUMGARTNER O.T.R/L
Individual
Occupational Therapist4450 31ST AVE S STE 104
FARGO, ND 58104
(701) 451-9417
1326249467 HEATHER J STUDSRUD PT/DPT
Individual
Physical Therapist4450 31ST AVE S STE 104
FARGO, ND 58104
(701) 451-9417
1053652974 BRITTANY L HAUGO PT/DPT
Individual
Physical Therapist4450 31ST AVE S STE 104
FARGO, ND 58104
(701) 451-9417
1235542630 KRISTA KLIPFEL PT
Individual
Physical Therapist4450 31ST AVE S STE 104
FARGO, ND 58104
(701) 451-9417
1790198190 DENISE SCHRAM PT/DPT
Individual
Physical Therapist4450 31ST AVE S STE 104
FARGO, ND 58104
(701) 451-9417
1952946444 SHAUNNA MESSMER-LAVALLEY PT, DPT
Individual
Physical Therapist4450 31ST AVE S STE 104
FARGO, ND 58104
(701) 451-9417
1477229805 ANNA FOSS PT, DPT
Individual
Physical Therapist4450 31ST AVE S STE 104
FARGO, ND 58104
(701) 451-9417
1649745159 BRIDGET ANN JUHNKE PT, DPT
Individual
Physical Therapist4450 31ST AVE S STE 104
FARGO, ND 58104
(701) 451-9417

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
Mrs. Julie Ann Koerner Otr/l 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.