MS. MEGAN ELIZABETH SMITH FNP
NPI 1780451104
Nurse Practitioner in Dekalb, IL
NPI Status: Active since December 06, 2023
Contact Information
1 KISH HOSPITAL DR
DEKALB, IL
ZIP 60115
Phone: (815) 766-7334
Fax: (815) 766-9768
- Individual
- Female
- Years of Experience 3
- Nurse Practitioner
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About MEGAN SMITH
This page provides the complete NPI Profile along with additional information for Megan Smith, a provider established in Dekalb, Illinois with a medical specialization in Nurse Practitioner and more than 3 years of experience. The healthcare provider is registered in the NPI registry with number 1780451104 assigned on December 2023. The practitioner's primary taxonomy code is 363L00000X with license number 209028971 (IL). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1780451104
- Provider Name
- MS. MEGAN ELIZABETH SMITH FNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1 KISH HOSPITAL DR DEKALB, IL 60115
- Location Phone
- (815) 766-7334
- Location Fax
- (815) 766-9768
- Mailing Address
- 1 KISH HOSPITAL DR DEKALB, IL 60115
- Mailing Phone
- (815) 766-7334
- Mailing Fax
- (815) 766-9768
- Medical School Name
- OTHER
- Graduation Year
- 2023
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-06-2023
- Last Update Date
- 06-21-2024
- Code Navigator
A nurse practitioner (NP) like Megan Smith 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
- 901 Biesterfield Rd Ste 105
Elk Grove Village, IL 60007
(847) 228-9898
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
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 209028971
- License State
- IL
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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) |
---|---|---|---|---|
1 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 209028971 (IL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- 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
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Megan Smith is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Megan Smith 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
PECOS PAC ID: 9032560958
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240104003536
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.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 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 typical physician office visit costs for Medicare beneficiaries in this area are: $21.42 for a new patient copayment and $24.31 for an established patient copayment.
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 60115 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 99214
- Average Established Patient Price $97.25
- Minimum Established Patient Price $17.16
- Maximum Established Patient Price $136.56
- Average Established Patient Copayment $24.31
- 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.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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. Megan Smith is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL | ONE KISH HOSPITAL DRIVE DEKALB, IL 60115 | (815) 756-1521 | Acute Care Hospitals |
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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 | 7 | 8 | 0 | 4 | 5 | 1 | 1 | 0 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 16 | 0 | 8 | 5 | 2 | 1 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 6 + 0 + 8 + 5 + 2 + 1 + 0 + 24 = 56 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 56 = 4 | 4 |
The NPI number 1780451104 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
MR. STEPHEN A FLAHERTY CRNA
Anesthesiology
1 KISH HOSPITAL DR
DEKALB, IL
ZIP 60115
DR. KARYN N ERKFRITZ-GAY PH.D.
Psychologist
(Clinical Child & Adolescent)
1 KISH HOSPITAL DR
DEKALB, IL
ZIP 60115
MRS. FATIMA I AYUBA-UDOIWOD CRNA
Nurse Anesthetist, Certified Registered
1 KISH HOSPITAL DR
DEKALB, IL
ZIP 60115
CARLOS X MORENO CRNA
Nurse Anesthetist, Certified Registered
1 KISH HOSPITAL DR
DEKALB, IL
ZIP 60115
DR. KRISTI STICE PHARM.D.
Pharmacist
1 KISH HOSPITAL DR
DEKALB, IL
ZIP 60115
DR. ELIZABETH K. JOCHUM PHARM.D., BCPS
Pharmacist
1 KISH HOSPITAL DR
DEKALB, IL
ZIP 60115
MR. GREGORY J ARNOLD M.D.
Anesthesiology
(Pain Medicine)
1 KISH HOSPITAL DR
DEKALB, IL
ZIP 60115
MS. MICHAEL ANN KELLY M.S., R.D., L.D.N.
Dietitian, Registered
1 KISH HOSPITAL DR
DEKALB, IL
ZIP 60115
SOTHIDA BERRY CRNA
Nurse Anesthetist, Certified Registered
1 KISH HOSPITAL DR
DEKALB, IL
ZIP 60115
MRS. MARCI PAPIERNIK CRNA
Nurse Anesthetist, Certified Registered
1 KISH HOSPITAL DR
DEKALB, IL
ZIP 60115
MONIQUE E SLAD MBA, RD, LDN
Dietitian, Registered
1 KISH HOSPITAL DR
DEKALB, IL
ZIP 60115
ILLINOIS NEUROCARE LLC
Psychiatry & Neurology
(Neurology)
1 KISH HOSPITAL DR
DEKALB, IL
ZIP 60115
ALISON HUNT CRNA
Nurse Anesthetist, Certified Registered
1 KISH HOSPITAL DR
DEKALB, IL
ZIP 60115
HERMAN E MARTINEZ PHARM.D.
Pharmacist
1 KISH HOSPITAL DR
DEKALB, IL
ZIP 60115
DEREK J MARATEA PA-C
Physician Assistant
1 KISH HOSPITAL DR
DEKALB, IL
ZIP 60115
ANESTHESIA ASSOCIATES LTD.
Nurse Anesthetist, Certified Registered
1 KISH HOSPITAL DR
DEKALB, IL
ZIP 60115
BRENDA GILBERT
Physical Therapy Assistant
1 KISH HOSPITAL DR
DEKALB, IL
ZIP 60115
MRS. MICHELLE LYNN BURTON MS, CCC-SLP
Speech-Language Pathologist
1 KISH HOSPITAL DR
DEKALB, IL
ZIP 60115
DAWN MARSHALL
Nurse Anesthetist, Certified Registered
1 KISH HOSPITAL DR
DEKALB, IL
ZIP 60115
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780451104, enumerated as an "individual" on December 06, 2023.
The provider is located at 1 KISH HOSPITAL DR DEKALB, IL 60115 and the phone number is (815) 766-7334.
Nurse Practitioner with taxonomy code 363L00000X.
The provider might be accepting Accepts: Aetna CVS Health and Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to verify.
Megan Smith is affiliated with: NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL.