DANIELLE PETROWSKI NPI 1891417242
Nurse Practitioner - Family in Mystic, CT
About DANIELLE PETROWSKI
Danielle Petrowski is a provider established in Mystic, Connecticut and her medical specialization is Nurse Practitioner with a focus in family with more than one year of experience. The NPI number of this provider is 1891417242 and was assigned on September 2022. The practitioner's primary taxonomy code is 363LF0000X with license number 10993 (CT). The provider is registered as an individual and her NPI record was last updated one year ago.
| NPI | 1891417242 |
| Provider Name | DANIELLE PETROWSKI |
| Location Address | 23 CLARA DR MYSTIC, CT 06355 |
| Location Phone | (860) 572-5782 |
| Mailing Address | 99 HAWLEY LN FL 3 STRATFORD, CT 06614 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2022 |
| Is Sole Proprietor? | No |
| Enumeration Date | 09-13-2022 |
| Last Update Date | 10-31-2022 |
A nurse practitioner (NP) like Danielle Petrowski 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.Danielle Petrowski 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.
Danielle Petrowski 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 Lawrence & Memorial Hospital.
The typical physician office visit costs for Medicare beneficiaries in this area are: $24.29 for a new patient copayment and $28.02 for an established patient copayment.
Primary Taxonomy
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.
| Taxonomy Code | 363LF0000X |
| Classification | Nurse Practitioner |
| Type | Physician Assistants & Advanced Practice Nursing Providers |
| Specialization | Family |
| License No. | 10993 |
| License State | CT |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
23 CLARA DR
MYSTIC, CT
ZIP 06355
Phone: (860) 572-5782
Mailing Address
99 HAWLEY LN FL 3
STRATFORD, CT
ZIP 06614
Location Map
PECOS Enrollment and Medicare Participation Status
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 ID | 2860861317 |
| PECOS Enrollment ID | I20221206001252 |
| 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 Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
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 06355 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 |
| $63.47 | $190.87 | $97.18 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $15.86 | $47.71 | $24.29 |
| 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 |
| $20.08 | $156.18 | $112.09 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $5.02 | $39.04 | $28.02 |
* 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. Danielle Petrowski is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| LAWRENCE & MEMORIAL HOSPITAL | 365 MONTAUK AVE NEW LONDON, CT 6320 | (860) 442-0711 | Acute Care Hospitals | 70007 |
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 |
|---|---|---|
| 1891417242 | MEDICAID (05) | RI |
| 1891417242 | MEDICAID (05) | 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. | |||||||||
| 1 | 8 | 9 | 1 | 4 | 1 | 7 | 2 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 18 | 1 | 8 | 1 | 14 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 8 + 1 + 8 + 1 + 1 + 4 + 2 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1891417242 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720065154 | BRUCE A. BERLOW M.D. Individual | Specialist | 23 CLARA DR SUITE 204 MYSTIC, CT 06355 (860) 536-2995 |
| 1265656946 | JENNIFER FELICELLI PA-C Individual | Physician Assistant | 23 CLARA DR MYSTIC, CT 06355 (860) 536-1666 |
| 1003001850 | MAIN MEDICAL-MYSTIC, LLC Organization | Internal Medicine | 23 CLARA DR SUITE 201 MYSTIC, CT 06355 (860) 536-1666 |
| 1013195064 | MRS. LAURA ANN WHITE OTRL Individual | Occupational Therapist | 23 CLARA DR VISIONS SIGHT AND LEARNING CENTER MYSTIC, CT 06355 (860) 572-4805 |
| 1528236932 | MRS. GABRIELLE EDEN PIERCE PA-C Individual | Physician Assistant | 23 CLARA DR SUITE 201 MYSTIC, CT 06355 (860) 536-1666 |
| 1467659227 | DR. ADRIENNE LYNNE MAROLD PARAD M.D. Individual | Family Medicine | 23 CLARA DR SUITE 203 MYSTIC, CT 06355 (860) 464-2028 |
| 1558406066 | DANIEL LEROY WAGGONER M.D. Individual | Allergy & Immunology | 23 CLARA DR SUITE 204 MYSTIC, CT 06355 (860) 536-2995 |
| 1811109259 | COASTAL CHIROPRACTIC & FAMILY WELLNESS CENTRE Organization | Chiropractor (Rehabilitation) | 23 CLARA DR SUITE 105 MYSTIC, CT 06355 (860) 572-7711 |
| 1437611696 | DR. SUNGSIL CHO MD Individual | Family Medicine | 23 CLARA DR MYSTIC, CT 06355 (860) 572-5782 |
Frequently Asked Questions
What is Danielle Petrowski NPI number?
The NPI number assigned to this healthcare provider is 1891417242, registered as an "individual" on September 13, 2022
Where is Danielle Petrowski located?
The provider is located at 23 Clara Dr Mystic, Ct 06355 and the phone number is (860) 572-5782
Which is Danielle Petrowski specialty?
The provider's speciality is Nurse Practitioner with a focus in Family
How many years of experience does Danielle Petrowski have?
The provider has more than one year of experience.
What insurance does Danielle Petrowski accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Danielle Petrowski registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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.
How much is a visit to Danielle Petrowski ?
Medicare beneficiaries should expect a typical cost of $97.18 with an average copayment of $24.29 for new patient appointments. Established patients should expect a typical charge of $112.09 and an average copayment of 28.02. Please review your insurance plan or contact the provider directly to determine your specific costs.
Is Danielle Petrowski affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: LAWRENCE & MEMORIAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Danielle Petrowski was last updated on September 13, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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