MISS PAOLA CAEIRO RAGUSEO R.N., APN-BC NPI 1770743866
Nurse Practitioner - Adult Health in Clark, NJ
About MISS PAOLA CAEIRO RAGUSEO R.N., APN-BC
Paola Raguseo is a provider established in Clark, New Jersey and her medical specialization is Nurse Practitioner with a focus in adult health with more than 17 years of experience. The NPI number of this provider is 1770743866 and was assigned on June 2008. The practitioner's primary taxonomy code is 363LA2200X with license number 26NJ00159800 (NJ). The provider is registered as an individual and her NPI record was last updated 8 years ago.
| NPI | 1770743866 |
| Provider Name | MISS PAOLA CAEIRO RAGUSEO R.N., APN-BC |
| Location Address | 152 CENTRAL AVE CLARK, NJ 07066 |
| Location Phone | (732) 382-9700 |
| Mailing Address | 152 CENTRAL AVE CLARK, NJ 07066 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2007 |
| Is Sole Proprietor? | No |
| Enumeration Date | 06-11-2008 |
| Last Update Date | 03-24-2016 |
A nurse practitioner (NP) like Paola Raguseo 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.Paola Raguseo 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.
Paola Raguseo 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. According to Medicare claims data she has hospital affiliations with Centrastate Medical Center.
The typical physician office visit costs for Medicare beneficiaries in this area are: $25.35 for a new patient copayment and $29.21 for an established patient copayment.
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.
| Taxonomy Code | 363LA2200X |
| Classification | Nurse Practitioner |
| Type | Physician Assistants & Advanced Practice Nursing Providers |
| Specialization | Adult Health |
| License No. | 26NJ00159800 |
| License State | NJ |
Business Address
152 CENTRAL AVE
CLARK, NJ
ZIP 07066
Phone: (732) 382-9700
Fax: (732) 382-9707
Mailing Address
152 CENTRAL AVE
CLARK, NJ
ZIP 07066
Phone: (732) 382-9700
Fax: (732) 382-9707
Location Map
PECOS Enrollment and Medicare Participation Status
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 Medicare providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in the Medicare program need to enroll in PECOS with their NPI number to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 9537348396 |
| PECOS Enrollment ID | I20110125001084 |
| 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. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order or refer Durable Medical Equipment (DMEPOS) | Yes |
| Eligible order r refer Home Health Agency (HHA) | Yes |
| Eligible order r refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 07066 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $66.45 | $198.48 | $101.4 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $16.61 | $49.62 | $25.35 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $21.27 | $162.58 | $116.86 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $5.31 | $40.64 | $29.21 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 13Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Paola Raguseo is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| CENTRASTATE MEDICAL CENTER | 901 WEST MAIN STREET FREEHOLD, NJ 7728 | (732) 431-2000 | Acute Care Hospitals | 310111 |
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 | 7 | 7 | 0 | 7 | 4 | 3 | 8 | 6 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 14 | 4 | 6 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 1 + 4 + 4 + 6 + 8 + 1 + 2 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1770743866 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1629167606 | DR. ROBERT JOSEPH MARTINO DDS Individual | Dentist (General Practice) | 152 CENTRAL AVE SUITE 202 CLARK, NJ 07066 (732) 382-8280 |
| 1942380548 | MRS. KATHLEEN MARIE HUGHES MPT Individual | Physical Therapist | 152 CENTRAL AVE 2ND FLOOR CLARK, NJ 07066 (732) 499-4540 |
| 1568654192 | RAISA SIGALOVA MS, PT Individual | Physical Therapist | 152 CENTRAL AVE 2ND FLOOR CLARK, NJ 07066 (732) 499-4540 |
| 1093036436 | KWAKYE ERIC ACHEAMPONG PHARM.D Individual | Pharmacist | 152 CENTRAL AVE CLARK, NJ 07066 (732) 815-9320 |
| 1689080434 | MS. SULEIMA ROSARIO-DIAZ APN Individual | Nurse Practitioner (Adult Health) | 152 CENTRAL AVE CLARK, NJ 07066 (732) 382-9700 |
| 1043389083 | ASHA M VIJAYAKUMAR M.D Individual | Internal Medicine | 152 CENTRAL AVE CLARK, NJ 07066 (732) 382-9700 |
| 1164817284 | ALLISON CARRIE SCEPPAGUERCIO D.M.D. Individual | Dentist | 152 CENTRAL AVE #202 CLARK, NJ 07066 (732) 382-8280 |
| 1568685980 | FIRST HEALTH, P.A. Organization | Family Medicine | 152 CENTRAL AVE CLARK, NJ 07066 (732) 382-9700 |
| 1639601024 | PARAMUS MULTICARE Organization | Family Medicine | 152 CENTRAL AVE CLARK, NJ 07066 (732) 726-0020 |
| 1679006563 | MRS. NADINE A WILLIAMS APN Individual | Nurse Practitioner (Adult Health) | 152 CENTRAL AVE CLARK, NJ 07066 (732) 382-9700 |
| 1164952198 | MRS. SVETLANA JAYSON AGPCNP-BC Individual | Nurse Practitioner (Gerontology) | 152 CENTRAL AVE CLARK, NJ 07066 (732) 382-9700 |
| 1043780802 | TRACEY COLEMAN NP Individual | Nurse Practitioner | 152 CENTRAL AVE CLARK, NJ 07066 (732) 382-9700 |
| 1154851475 | ADMED CENTERS LLC Organization | Internal Medicine (Addiction Medicine) | 152 CENTRAL AVE CLARK, NJ 07066 (732) 726-0030 |
Frequently Asked Questions
What is Miss Paola Raguseo R.N., APN-BC NPI number?
The NPI number assigned to this healthcare provider is 1770743866, registered as an "individual" on June 11, 2008
Where is the provider located?
The provider is located at 152 Central Ave Clark, Nj 07066 and the phone number is (732) 382-9700
What is the provider specialty code?
The provider's speciality is Nurse Practitioner with taxonomy code 363LA2200X with a focus in Adult Health
How many years of experience does Miss Paola Raguseo R.N., APN-BC have?
The provider has more than 17 years of experience.
Is Miss Paola Raguseo R.N., APN-BC registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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.
How much is a visit to Miss Paola Raguseo R.N., APN-BC?
Medicare beneficiaries should expect a typical cost of $101.4 with an average copayment of $25.35 for new patient appointments. Established patients should expect a typical charge of $116.86 and an average copayment of 29.21. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Miss Paola Raguseo R.N., APN-BC?
The most common procedures or services performed by this practitioner are: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit.
Is Miss Paola Raguseo R.N., APN-BC affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: CENTRASTATE MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
This NPI record was last updated on June 11, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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