JADE POWELL VERGARA AGPCNP-C
NPI 1760806632
Nurse Practitioner - Gerontology in Hendersonville, TN

NPI Status: Active since February 12, 2014

Contact Information

166 E MAIN ST
HENDERSONVILLE, TN
ZIP 37075
Phone: (615) 822-3000
Fax: (615) 348-0109

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  • Individual
  • Female
  • Nurse Practitioner
  • Gerontology
  • Accepts Insurance
  • PECOS Enrolled
  • Medicare Quality Reporting

About JADE VERGARA

This page provides the complete NPI Profile along with additional information for Jade Vergara, a provider established in Hendersonville, Tennessee with a medical specialization in Nurse Practitioner, focusing in gerontology . The healthcare provider is registered in the NPI registry with number 1760806632 assigned on February 2014. The practitioner's primary taxonomy code is 363LG0600X with license number 18347 (TN). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1760806632
Provider Name
JADE POWELL VERGARA AGPCNP-C
Other Name
JADE POWELL WARD AGPCNP-C
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
166 E MAIN ST HENDERSONVILLE, TN 37075
Location Phone
(615) 822-3000
Location Fax
(615) 348-0109
Mailing Address
347 WOODYCREST AVE NASHVILLE, TN 37210
Is Sole Proprietor?
No
Enumeration Date
02-12-2014
Last Update Date
04-15-2015
Code Navigator

A nurse practitioner (NP) like Jade Vergara 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

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 Gerontology

Taxonomy Code
363LG0600X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
18347
License State
TN

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)
1363LA2200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Adult Health

18347 (TN)

Insurance Plans Accepted

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

  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Simple - EPO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - EPO
  • Bronze Simple Chronic Care CKM - EPO
  • Bronze Simple Diabetes - EPO
  • Gold Classic Standard - EPO
  • Gold Elite - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits - EPO
  • Silver Simple Chronic Care CKM - EPO
  • Silver Simple Diabetes - EPO
  • Silver Simple PCP Saver - EPO
  • Silver Simple Women's Health with Menopause Benefits - EPO

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

Medicare Participation & PECOS Enrollment Status

Jade Vergara 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

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    2 DME suppliers used 11 Medicare Claims 26 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

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 37075 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $81.53
  • Minimum New Patient Price $52.64
  • Maximum New Patient Price $160.89
  • Average New Patient Copayment $20.38
  • Minimum New Patient Copayment $13.16
  • Maximum New Patient Copayment $40.22

Established Patients Visit Costs *

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

  • Average Established Patient Price $93.6
  • Minimum Established Patient Price $16.72
  • Maximum Established Patient Price $131.41
  • Average Established Patient Copayment $23.4
  • Minimum Established Patient Copayment $4.18
  • Maximum Established Patient Copayment $32.85

* 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.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Care Plan 100% 166
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan
Patient-Specific Education 1% 285
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Preventive Care and Screening: Influenza Immunization 100% 85
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
Provide Patient Access 100% 285
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified EHR technology.

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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 1760806632, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
2
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 8 → 16 → 7 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 2 + 0 + 1 + 6 + 0 + 1 + 2 + 6 + 6 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1760806632.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Internal Medicine
166 E MAIN ST
HENDERSONVILLE, TN 37075
Chiropractor
166 E MAIN ST
HENDERSONVILLE, TN 37075
Chiropractor
166 E MAIN ST
HENDERSONVILLE, TN 37075
Nurse Practitioner (Adult Health)
166 E MAIN ST
HENDERSONVILLE, TN 37075
Nurse Practitioner (Adult Health)
166 E MAIN ST
HENDERSONVILLE, TN 37075
Nurse Practitioner (Family)
166 E MAIN ST
HENDERSONVILLE, TN 37075
Nurse Practitioner (Adult Health)
166 E MAIN ST
HENDERSONVILLE, TN 37075
Nurse Practitioner
166 E MAIN ST
HENDERSONVILLE, TN 37075
Family Medicine (Geriatric Medicine)
166 E MAIN ST
HENDERSONVILLE, TN 37075
Nurse Practitioner (Acute Care)
166 E MAIN ST
HENDERSONVILLE, TN 37075
Nurse Practitioner (Adult Health)
166 E MAIN ST
HENDERSONVILLE, TN 37075
Psychiatry & Neurology (Psychiatry)
166 E MAIN ST
HENDERSONVILLE, TN 37075
Nurse Practitioner (Family)
166 E MAIN ST
HENDERSONVILLE, TN 37075
Emergency Medicine
166 E MAIN ST
HENDERSONVILLE, TN 37075

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760806632, enumerated as an "individual" on February 12, 2014.

The provider is located at 166 E MAIN ST HENDERSONVILLE, TN 37075 and the phone number is (615) 822-3000.

Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.

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