KIMBERLY GAGE NP NPI 1780607671
Nurse Practitioner - Psychiatric/Mental Health in Springfield, MA

Individual Female Years of Experience 22 Nurse Practitioner Psychiatric/Mental Health PECOS Enrolled Accepts Medicare Approved Payment

About KIMBERLY GAGE NP

Kimberly Gage is a provider established in Springfield, Massachusetts and her medical specialization is Nurse Practitioner with a focus in psychiatric/mental health with more than 22 years of experience. The NPI number of Kimberly Gage is 1780607671 and was assigned on July 2006. The practitioner's primary taxonomy code is 363LP0808X with license number 183097 (MA). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1780607671
Provider Name KIMBERLY GAGE NP
Provider Location Address511 E COLUMBUS AVE SPRINGFIELD, MA 01105
Provider Mailing Address511 E COLUMBUS AVE SPRINGFIELD, MA 01105
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2001
Is Sole Proprietor?No
Enumeration Date07-25-2006
Last Update Date10-04-2011

A nurse practitioner (NP) like Kimberly Gage Np 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.Kimberly Gage 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.

Kimberly Gage 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 Baystate Medical Center.

The typical physician office visit costs for Medicare beneficiaries in this area are: $23.51 for a new patient copayment and $27.15 for an established patient copayment.



Primary Taxonomy

Taxonomy Code363LP0808X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationPsychiatric/Mental Health
License No.183097
License StateMA

Business Address

KIMBERLY GAGE NP
511 E COLUMBUS AVE
SPRINGFIELD, MA
ZIP 01105
Phone: (413) 827-8959
Fax: (413) 827-7015

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Mailing Address

KIMBERLY GAGE NP
511 E COLUMBUS AVE
SPRINGFIELD, MA
ZIP 01105
Phone: (413) 827-8959
Fax: (413) 827-7015


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.

Registered in PECOS? Yes
PECOS PAC ID8820004260
PECOS Enrollment IDI20060222000741
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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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 01105 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
$61.32 $185.12 $94.07
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.33 $46.28 $23.51
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
$19.31 $151.47 $108.63
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.82 $37.86 $27.15

* 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.

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. Kimberly Gage is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
BAYSTATE MEDICAL CENTER759 CHESTNUT STREET
SPRINGFIELD, MA 1199
(413) 794-0000Acute Care Hospitals220077

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
1363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily183097MANo

Taxonomy Description: Not Available

2364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health183097MANo

Taxonomy Description: Not Available

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
D40000830MEDICARE UPIN (02)CT

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.
1780607671
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2716012014614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 1 + 2 + 0 + 1 + 4 + 6 + 1 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1780607671 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1093739203 CARRIE C. JOSEPH LICSW
Individual
Social Worker (Clinical)511 E COLUMBUS AVE
SPRINGFIELD, MA 01105
(413) 827-8959
1316086200 SHARLENE HERNANDEZ RN
Individual
Registered Nurse (Psychiatric/Mental Health)511 E COLUMBUS AVE
SPRINGFIELD, MA 01105
(413) 827-8959
1336280726 JAIME CINTRON
Individual
Social Worker (Clinical)511 E COLUMBUS AVE
SPRINGFIELD, MA 01105
(413) 827-8959
1326189655 TINA HUTCHINS
Individual
Social Worker (Clinical)511 E COLUMBUS AVE
SPRINGFIELD, MA 01105
(413) 827-8959
1760523005 KIMBERLY MILBERG
Individual
Social Worker (Clinical)511 E COLUMBUS AVE
SPRINGFIELD, MA 01105
(413) 827-8959
1295876498 ZENAIDA ORTEGA
Individual
Social Worker (Clinical)511 E COLUMBUS AVE
SPRINGFIELD, MA 01105
(413) 827-8959
1265573463 LETICIA GUZMAN
Individual
Social Worker (Clinical)511 E COLUMBUS AVE
SPRINGFIELD, MA 01105
(413) 827-8959
1285775676 SONJA MCKENNA
Individual
Social Worker (Clinical)511 E COLUMBUS AVE
SPRINGFIELD, MA 01105
(413) 827-8959
1366583783 KELLY DUFFY-CLARK
Individual
Social Worker (Clinical)511 E COLUMBUS AVE
SPRINGFIELD, MA 01105
(413) 827-8959
1043351398 KAREN REINIGER
Individual
Social Worker (Clinical)511 E COLUMBUS AVE
SPRINGFIELD, MA 01105
(413) 827-8959
1770625592 JACKALYN ROBINSON
Individual
Social Worker (Clinical)511 E COLUMBUS AVE
SPRINGFIELD, MA 01105
(413) 827-8959
1881736510 NICOLE GRAY
Individual
Social Worker (Clinical)511 E COLUMBUS AVE
SPRINGFIELD, MA 01105
(413) 827-8959
1922140664 DIANA M. NOTHE-TAYLOR
Individual
Social Worker (Clinical)511 E COLUMBUS AVE
SPRINGFIELD, MA 01105
(413) 827-8959
1417099151 GAIL BOURASSA
Individual
Social Worker (Clinical)511 E COLUMBUS AVE
SPRINGFIELD, MA 01105
(413) 827-8959
1740322460 THOMAS M. ROLLEND
Individual
Social Worker (Clinical)511 E COLUMBUS AVE
SPRINGFIELD, MA 01105
(413) 827-8959
1386786010 WILLIAM HACKETT
Individual
Social Worker (Clinical)511 E COLUMBUS AVE
SPRINGFIELD, MA 01105
(413) 827-8959
1497897896 KARON BELUNAS
Individual
Social Worker511 E COLUMBUS AVE
SPRINGFIELD, MA 01105
(413) 827-8959
1700928108 DALE SICKLES
Individual
Social Worker (Clinical)511 E COLUMBUS AVE
SPRINGFIELD, MA 01105
(413) 827-8959
1053453456 SHEILA BONILLA-ACEVEDO
Individual
Social Worker (Clinical)511 E COLUMBUS AVE
SPRINGFIELD, MA 01105
(413) 827-8959
1316089725 SHAWN DALEY
Individual
Social Worker (Clinical)511 E COLUMBUS AVE
SPRINGFIELD, MA 01105
(413) 827-8959

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
Kimberly Gage Np 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.