APRIL ANN MCQUILLEN DO
NPI 1790905768
Family Medicine in New Hampton, IA

NPI Status: Active since May 01, 2007

Contact Information

308 N MAPLE AVE
NEW HAMPTON, IA
ZIP 50659
Phone: (641) 394-2151
Fax: (641) 394-1999

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  • Individual
  • Female
  • Family Medicine
  • PECOS Enrolled

About APRIL MCQUILLEN

This page provides the complete NPI Profile along with additional information for April Mcquillen, a primary care provider established in New Hampton, Iowa with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1790905768 assigned on May 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 4041 (IA). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1790905768
Provider Name
APRIL ANN MCQUILLEN DO
Gender
Female
Entity Type
Individual
Location Address
308 N MAPLE AVE NEW HAMPTON, IA 50659
Location Phone
(641) 394-2151
Location Fax
(641) 394-1999
Mailing Address
621 S ILLINOIS AVE SUITE 103 MASON CITY, IA 50401
Mailing Phone
(641) 428-3041
Mailing Fax
(641) 394-1999
Is Sole Proprietor?
No
Enumeration Date
05-01-2007
Last Update Date
10-01-2020
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A primary care provider (PCP) like April Mcquillen sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
4041
License State
IA
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Medicare Participation & PECOS Enrollment Status

April Mcquillen 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

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 50659 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $81.84
  • Minimum New Patient Price $52.96
  • Maximum New Patient Price $161.4
  • Average New Patient Copayment $20.46
  • Minimum New Patient Copayment $13.24
  • Maximum New Patient Copayment $40.35

Established Patients Visit Costs *

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

  • Average Established Patient Price $94.05
  • Minimum Established Patient Price $16.91
  • Maximum Established Patient Price $131.98
  • Average Established Patient Copayment $23.51
  • Minimum Established Patient Copayment $4.22
  • Maximum Established Patient Copayment $32.99

* 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.

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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 1790905768, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
8
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 9 → 18 → 9 9 → 18 → 9 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 8 + 0 + 1 + 8 + 0 + 1 + 0 + 7 + 1 + 2 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1790905768.

Other Providers at the Same Location


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

Dietitian, Registered
308 N MAPLE AVE
NEW HAMPTON, IA 50659
Audiologist-Hearing Aid Fitter
308 N MAPLE AVE
NEW HAMPTON, IA 50659
Nurse Practitioner (Family)
308 N MAPLE AVE
NEW HAMPTON, IA 50659
Family Medicine
308 N MAPLE AVE
NEW HAMPTON, IA 50659
Family Medicine
308 N MAPLE AVE
NEW HAMPTON, IA 50659
Nurse Practitioner (Family)
308 N MAPLE AVE
NEW HAMPTON, IA 50659
Family Medicine
308 N MAPLE AVE
NEW HAMPTON, IA 50659
Nurse Practitioner
308 N MAPLE AVE
NEW HAMPTON, IA 50659
Nurse Practitioner
308 N MAPLE AVE
NEW HAMPTON, IA 50659
Family Medicine
308 N MAPLE AVE
NEW HAMPTON, IA 50659
Family Medicine
308 N MAPLE AVE
NEW HAMPTON, IA 50659
Physical Therapist
308 N MAPLE AVE
NEW HAMPTON, IA 50659
Occupational Therapist
308 N MAPLE AVE
NEW HAMPTON, IA 50659
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
308 N MAPLE AVE
NEW HAMPTON, IA 50659
Nurse Anesthetist, Certified Registered
308 N MAPLE AVE, STE CR
NEW HAMPTON, IA 50659
Medicare Defined Swing Bed Unit
308 N MAPLE AVE, STE SB
NEW HAMPTON, IA 50659
Family Medicine
308 N MAPLE AVE
NEW HAMPTON, IA 50659
Emergency Medical Technician, Paramedic
308 N MAPLE AVE, STE ER
NEW HAMPTON, IA 50659
Family Medicine
308 N MAPLE AVE
NEW HAMPTON, IA 50659
Physician Assistant
308 N MAPLE AVE
NEW HAMPTON, IA 50659

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790905768, enumerated as an "individual" on May 01, 2007.

The provider is located at 308 N MAPLE AVE NEW HAMPTON, IA 50659 and the phone number is (641) 394-2151.

Family Medicine with taxonomy code 207Q00000X.