WENDI SUZZETTE ALEJANDRE CNM
NPI 1891233136
Advanced Practice Midwife in Anchorage, AK


Quality Rating: 87.09 out of 100 score

NPI Status: Active since February 07, 2017

Contact Information

4320 DIPLOMACY DR
ANCHORAGE, AK
ZIP 99508
Phone: (907) 729-3100

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  • Individual
  • Female
  • Advanced Practice Midwife
  • Accepts Insurance
  • PECOS Enrolled

About WENDI ALEJANDRE

This page provides the complete NPI Profile along with additional information for Wendi Alejandre, a provider established in Anchorage, Alaska with a medical specialization in Advanced Practice Midwife. The healthcare provider is registered in the NPI registry with number 1891233136 assigned on February 2017. The practitioner's primary taxonomy code is 367A00000X with license number 10029386 (OR). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1891233136
Provider Name
WENDI SUZZETTE ALEJANDRE CNM
Other Name
WENDI SUZZETTE MANUMALO CNM
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
4320 DIPLOMACY DR ANCHORAGE, AK 99508
Location Phone
(907) 729-3100
Mailing Address
4002 LAKEHURST CIR UNIT 1 ANCHORAGE, AK 99502
Mailing Phone
(907) 952-6011
Is Sole Proprietor?
No
Enumeration Date
02-07-2017
Last Update Date
11-25-2024
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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

Advanced Practice Midwife

Taxonomy Code
367A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
10029386
License State
OR
Taxonomy Description
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

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)
1367A00000XPhysician Assistants & Advanced Practice Nursing Providers

Advanced Practice Midwife

119087 (AK)

Insurance Plans Accepted

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

  • KP OR Bronze 6000 - EPO
  • KP OR Bronze HSA 7100 - EPO
  • KP OR Gold 0 - EPO
  • KP OR Gold 1750 - EPO
  • KP OR Silver 3000 - EPO
  • KP OR Silver 4000 - EPO
  • KP Oregon Standard Bronze Plan - EPO
  • KP Oregon Standard Gold Plan - EPO
  • KP Oregon Standard Silver Plan - EPO
  • KP OR Family Dental - $100 Ded - EPO
  • KP OR Family Dental - $1000 - EPO
  • KP OR Family Dental - $1000/$50 Ded - EPO
  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO
  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

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

Medicare Participation & PECOS Enrollment Status

Wendi Alejandre 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 and Durable Medical Equipment (DME).

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): No

  • Eligible to Order or Refer Power Mobility Devices: No

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 99508 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $111.57
  • Minimum New Patient Price $71.33
  • Maximum New Patient Price $222.64
  • Average New Patient Copayment $27.89
  • Minimum New Patient Copayment $17.83
  • Maximum New Patient Copayment $55.66

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $90.4
  • Minimum Established Patient Price $21.84
  • Maximum Established Patient Price $181.48
  • Average Established Patient Copayment $22.6
  • Minimum Established Patient Copayment $5.46
  • Maximum Established Patient Copayment $45.37

* 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.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 87.09, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 87.09 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 77.43

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 62.86

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 62.86

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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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 1891233136, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 8 + 1 + 4 + 3 + 6 + 1 + 6 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1891233136.

Other Providers at the Same Location


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

Pharmacist (Psychiatric)
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Family Medicine
4320 DIPLOMACY DR, ATTN: SHERRY REEDY
ANCHORAGE, AK 99508
Medical Genetics, Ph.D. Medical Genetics
4320 DIPLOMACY DR, ATTN: SHERRY REEDY
ANCHORAGE, AK 99508
Physician Assistant
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Physician Assistant
4320 DIPLOMACY DR, ATTN: SHERRY REEDY
ANCHORAGE, AK 99508
Physician Assistant
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Registered Nurse
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Physician Assistant
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Registered Nurse
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Registered Nurse
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Obstetrics & Gynecology
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Advanced Practice Midwife
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Obstetrics & Gynecology
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Obstetrics & Gynecology
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Registered Nurse
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Registered Nurse
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Obstetrics & Gynecology
4320 DIPLOMACY DR, ATTN: SHERRY REEDY
ANCHORAGE, AK 99508
Registered Nurse
4320 DIPLOMACY DR
ANCHORAGE, AK 99508
Pharmacist
4320 DIPLOMACY DR, ANMC PRIMARY CARE CENTER PHARMACY
ANCHORAGE, AK 99508
Family Medicine
4320 DIPLOMACY DR
ANCHORAGE, AK 99508

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891233136, enumerated as an "individual" on February 07, 2017.

The provider is located at 4320 DIPLOMACY DR ANCHORAGE, AK 99508 and the phone number is (907) 729-3100.

Advanced Practice Midwife with taxonomy code 367A00000X.

The provider might be accepting Accepts: Kaiser Permanente, Moda Health Plan, Inc. and. Please consult your insurance carrier or call the provider to verify.