HAILLE ANN RIDDLE APRN
NPI 1831833599
Registered Nurse in Beaufort, SC
NPI Status: Active since April 27, 2022
Contact Information
989 RIBAUT RD
BEAUFORT, SC
ZIP 29902
Phone: (843) 522-5600
- Individual
- Female
- Years of Experience 6
- Registered Nurse
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About HAILLE RIDDLE
This page provides the complete NPI Profile along with additional information for Haille Riddle, a provider established in Beaufort, South Carolina with a medical specialization in Registered Nurse and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1831833599 assigned on April 2022. The practitioner's primary taxonomy code is 163W00000X with license number RN.477970 (OH). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1831833599
- Provider Name
- HAILLE ANN RIDDLE APRN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 989 RIBAUT RD BEAUFORT, SC 29902
- Location Phone
- (843) 522-5600
- Mailing Address
- 955 RIBAUT RD BEAUFORT, SC 29902
- Medical School Name
- OTHER
- Graduation Year
- 2020
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-27-2022
- Last Update Date
- 04-27-2022
- Code Navigator
A registered nurse (RN) like Haille Riddle coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.
Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.
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
Registered Nurse
- Taxonomy Code
- 163W00000X
- Type
- Nursing Service Providers
- License No.
- RN.477970
- License State
- OH
- Taxonomy Description
- (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Beaufort Bronze 1 - HMO
- Blue Beaufort Bronze 2 - HMO
- Blue Beaufort Gold 1 - HMO
- Blue Beaufort Silver 1 - HMO
- Blue Beaufort Silver 2 - HMO
- Blue Beaufort Silver 2 + Adult Vision - HMO
- Blue Beaufort Standard Expanded Bronze - HMO
- Blue Beaufort Standard Gold - HMO
- Blue Beaufort Standard Silver - HMO
- Blue Direction Bronze 1 - POS
- Blue Direction Silver 1 - POS
- Blue Direction Silver 1 + Adult Vision - POS
- Blue Direction Silver 2 - POS
- Blue Direction Standard Expanded Bronze - POS
- Blue Direction Standard Gold - POS
- Blue Direction Standard Silver - POS
- Blue VirtuConnect Bronze 1 - EPO
- Blue VirtuConnect Gold 1 - EPO
- Blue VirtuConnect Silver 1 - EPO
- BlueEssentials Bronze 4 - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded (Dental + Vision) - HMO
- UHC Bronze Essential - HMO
- UHC Bronze Essential- - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Standard Plus Chiro - HMO
- UHC Gold Advantage - HMO
- UHC Gold Advantage+ (Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded - HMO
- UHC Gold Standard - HMO
- UHC Gold Standard Plus Chiro - HMO
- UHC Silver Advantage - HMO
- UHC Silver Advantage+ (Dental + Vision) - HMO
- UHC Silver Copay Focus $0 Indiv Med Ded - HMO
- UHC Silver Standard - HMO
- UHC Silver Standard- - HMO
- UHC Silver Standard Plus Chiro - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| AG04220032 | OTHER (01) | AANP BOARD CERTIFICATION |
Medicare Participation & PECOS Enrollment Status
Haille Riddle 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.
Haille Riddle 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: 648632869
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: I20230818002347
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
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Adult Major Depressive Disorder (MDD): Suicide Risk Assessment | 9% | 275 |
| Closing the Referral Loop: Receipt of Specialist Report | 19% | 83 |
| Documentation of Current Medications in the Medical Record | 95% | 1887 |
| e-Prescribing | 99% | 2034 |
| Provide Patients Electronic Access to Their Health Information | 88% | 434 |
| Use of High-Risk Medications in Older Adults | 28% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 109 |
| Use of High-Risk Medications in Older Adults | 9% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 148 |
| Use of High-Risk Medications in Older Adults | 24% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 148 |
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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 1831833599, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BEAUFORT, SC 29902
BEAUFORT, SC 29902
BEAUFORT, SC 29902
BEAUFORT, SC 29902
BEAUFORT, SC 29902
BEAUFORT, SC 29902
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831833599, enumerated as an "individual" on April 27, 2022.
The provider is located at 989 RIBAUT RD BEAUFORT, SC 29902 and the phone number is (843) 522-5600.
Registered Nurse with taxonomy code 163W00000X.
The provider might be accepting Accepts: BlueCross BlueShield of South Carolina,. Please consult your insurance carrier or call the provider to verify.
