MRS. LARAE MONTEESE BARNES FNP
NPI 1871834010
Nurse Practitioner - Family in Tucson, AZ

NPI Status: Active since March 13, 2013

Contact Information

2435 N CASTRO AVE
TUCSON, AZ
ZIP 85705
Phone: (520) 622-8030

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  • Individual
  • Female
  • Nurse Practitioner
  • Family
  • Accepts Insurance
  • PECOS Enrolled

About LARAE BARNES

This page provides the complete NPI Profile along with additional information for Larae Barnes, a provider established in Tucson, Arizona with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1871834010 assigned on March 2013. The practitioner's primary taxonomy code is 363LF0000X with license number AP4882 (AZ). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1871834010
Provider Name
MRS. LARAE MONTEESE BARNES FNP
Gender
Female
Entity Type
Individual
Location Address
2435 N CASTRO AVE TUCSON, AZ 85705
Location Phone
(520) 622-8030
Mailing Address
PO BOX 16405 TUCSON, AZ 85732
Mailing Phone
(520) 591-3524
Is Sole Proprietor?
No
Enumeration Date
03-13-2013
Last Update Date
03-13-2013
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A nurse practitioner (NP) like Larae Barnes 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

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 Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
AP4882
License State
AZ

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • HMSA Bronze PPO I - PPO
  • HMSA Bronze PPO II HSA - PPO
  • HMSA Catastrophic Plan - PPO
  • HMSA Gold PPO I - PPO
  • HMSA Gold PPO II - PPO
  • HMSA Platinum PPO - PPO
  • HMSA Silver PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Larae Barnes 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

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE001N)

    Tubing with integrated heating element for use with positive airway pressure device (HCPCS:A4604)

    4 DME suppliers used 103 Medicare Claims 103 Services Paid

  • DME-Other DME (DE001N)

    Full face mask used with positive airway pressure device, each (HCPCS:A7030)

    3 DME suppliers used 36 Medicare Claims 36 Services Paid

  • DME-Other DME (DE001N)

    Face mask interface, replacement for full face mask, each (HCPCS:A7031)

    3 DME suppliers used 27 Medicare Claims 61 Services Paid

  • DME-Other DME (DE001N)

    Cushion for use on nasal mask interface, replacement only, each (HCPCS:A7032)

    2 DME suppliers used 33 Medicare Claims 172 Services Paid

  • DME-Other DME (DE001N)

    Pillow for use on nasal cannula type interface, replacement only, pair (HCPCS:A7033)

    3 DME suppliers used 24 Medicare Claims 117 Services Paid

  • DME-Other DME (DE001N)

    Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap (HCPCS:A7034)

    4 DME suppliers used 95 Medicare Claims 95 Services Paid

  • DME-Other DME (DE001N)

    Headgear used with positive airway pressure device (HCPCS:A7035)

    4 DME suppliers used 100 Medicare Claims 100 Services Paid

  • DME-Other DME (DE001N)

    Tubing used with positive airway pressure device (HCPCS:A7037)

    3 DME suppliers used 30 Medicare Claims 30 Services Paid

  • DME-Other DME (DE001N)

    Filter, disposable, used with positive airway pressure device (HCPCS:A7038)

    4 DME suppliers used 120 Medicare Claims 624 Services Paid

  • DME-Other DME (DE001N)

    Water chamber for humidifier, used with positive airway pressure device, replacement, each (HCPCS:A7046)

    2 DME suppliers used 38 Medicare Claims 38 Services Paid

  • DME-Other DME (DE001N)

    Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) (HCPCS:E0470)

    2 DME suppliers used 21 Medicare Claims 21 Services Paid

  • DME-Other DME (DE001N)

    Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) (HCPCS:E0471)

    1 DME suppliers used 18 Medicare Claims 18 Services Paid

  • DME-Other DME (DE001N)

    Humidifier, heated, used with positive airway pressure device (HCPCS:E0562)

    2 DME suppliers used 48 Medicare Claims 48 Services Paid

  • DME-Other DME (DE001N)

    Continuous positive airway pressure (cpap) device (HCPCS:E0601)

    2 DME suppliers used 458 Medicare Claims 458 Services Paid

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 85705 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $85.89
  • Minimum New Patient Price $55.44
  • Maximum New Patient Price $168.6
  • Average New Patient Copayment $21.47
  • Minimum New Patient Copayment $13.86
  • Maximum New Patient Copayment $42.15

Established Patients Visit Costs *

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

  • Average Established Patient Price $98
  • Minimum Established Patient Price $17.72
  • Maximum Established Patient Price $137.41
  • Average Established Patient Copayment $24.5
  • Minimum Established Patient Copayment $4.43
  • Maximum Established Patient Copayment $34.35

* 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 1871834010, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
8
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
0
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 7 → 14 → 5 8 → 16 → 7 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 4 + 1 + 1 + 6 + 3 + 8 + 0 + 2 + 24 = 60

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

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1871834010.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Counselor (Professional)
2435 N CASTRO AVE
TUCSON, AZ 85705
Marriage & Family Therapist
2435 N CASTRO AVE
TUCSON, AZ 85705
Social Worker (Clinical)
2435 N CASTRO AVE
TUCSON, AZ 85705
Social Worker
2435 N CASTRO AVE
TUCSON, AZ 85705
Nurse Practitioner (Family)
2435 N CASTRO AVE
TUCSON, AZ 85705
Community/Behavioral Health
2435 N CASTRO AVE
TUCSON, AZ 85705
Counselor (Professional)
2435 N CASTRO AVE
TUCSON, AZ 85705
Nurse Practitioner (Psychiatric/Mental Health)
2435 N CASTRO AVE
TUCSON, AZ 85705
Counselor (Professional)
2435 N CASTRO AVE
TUCSON, AZ 85705
Counselor (Professional)
2435 N CASTRO AVE
TUCSON, AZ 85705
Psychiatry & Neurology (Psychiatry)
2435 N CASTRO AVE
TUCSON, AZ 85705
Nurse Practitioner (Family)
2435 N CASTRO AVE
TUCSON, AZ 85705
Counselor (Professional)
2435 N CASTRO AVE
TUCSON, AZ 85705
Community/Behavioral Health
2435 N CASTRO AVE
TUCSON, AZ 85705
Marriage & Family Therapist
2435 N CASTRO AVE
TUCSON, AZ 85705
Pharmacist
2435 N CASTRO AVE
TUCSON, AZ 85705
Nurse Practitioner (Psychiatric/Mental Health)
2435 N CASTRO AVE
TUCSON, AZ 85705

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871834010, enumerated as an "individual" on March 13, 2013.

The provider is located at 2435 N CASTRO AVE TUCSON, AZ 85705 and the phone number is (520) 622-8030.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: HMSA. Please consult your insurance carrier or call the provider to verify.