MRS. SARAH DIANNE GIRLINGHOUSE FNP-C
NPI 1902256290
Nurse Practitioner - Family in Alexandria, LA

NPI Status: Active since June 16, 2016

Contact Information

3330 MASONIC DR
ALEXANDRIA, LA
ZIP 71301
Phone: (318) 448-6530
Fax: (318) 483-4044

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

About SARAH GIRLINGHOUSE

This page provides the complete NPI Profile along with additional information for Sarah Girlinghouse, a provider established in Alexandria, Louisiana with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1902256290 assigned on June 2016. The practitioner's primary taxonomy code is 363LF0000X with license number AP08835 (LA). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1902256290
Provider Name
MRS. SARAH DIANNE GIRLINGHOUSE FNP-C
Gender
Female
Entity Type
Individual
Location Address
3330 MASONIC DR ALEXANDRIA, LA 71301
Location Phone
(318) 448-6530
Location Fax
(318) 483-4044
Mailing Address
1903 CLOVER LN ALEXANDRIA, LA 71301
Mailing Phone
(318) 542-3043
Is Sole Proprietor?
Yes
Enumeration Date
06-16-2016
Last Update Date
06-16-2016
Code Navigator

A nurse practitioner (NP) like Sarah Girlinghouse 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.
AP08835
License State
LA

Insurance Plans Accepted

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

  • Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
  • Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
  • Blue POS Copay (PCP) 60/40 $6000 Standardized - POS
  • Blue POS Copay (PCP) 75/55 $2000 Standardized - POS
  • Blue POS Copay (PCP) 80/60 $1000 with 2 $0 PCP Virtual Visits - POS
  • Precision Blue 80/60 $3200 with 2 $0 PCP Virtual Visits (BR) - POS
  • Precision Blue 80/60 $3200 with 2 $0 PCP Virtual Visits (M) - POS
  • Precision Blue 90/70 $9900 with 2 $0 PCP Virtual Visits (M) HSA Eligible - POS
  • Precision Blue Copay (PCP) 50/50 $7500 Standardized (BR) HSA Eligible - POS
  • Precision Blue Copay (PCP) 50/50 $7500 Standardized (M) HSA Eligible - POS
  • Precision Blue Copay (PCP) 60/40 $6000 Standardized (BR) - POS
  • Precision Blue Copay (PCP) 60/40 $6000 Standardized (M) - POS
  • Precision Blue Copay (PCP) 75/55 $2000 Standardized (BR) - POS
  • Precision Blue Copay (PCP) 75/55 $2000 Standardized (M) - POS
  • Signature Blue 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
  • Signature Blue 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Signature Blue Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
  • Signature Blue Copay (PCP) 60/40 $6000 Standardized - POS

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

Medicare Participation & PECOS Enrollment Status

Sarah Girlinghouse 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: Durable Medical Equipment (DME) 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: No

  • 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: 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 71301 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $83.6
  • Minimum New Patient Price $53.43
  • Maximum New Patient Price $164.73
  • Average New Patient Copayment $20.9
  • Minimum New Patient Copayment $13.35
  • Maximum New Patient Copayment $41.18

Established Patients Visit Costs *

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

  • Average Established Patient Price $95.09
  • Minimum Established Patient Price $16.64
  • Maximum Established Patient Price $133.62
  • Average Established Patient Copayment $23.77
  • Minimum Established Patient Copayment $4.16
  • Maximum Established Patient Copayment $33.4

* 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.

Reviews for MRS. SARAH DIANNE GIRLINGHOUSE FNP-C

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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 1902256290, 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
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
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 0 → 0 2 → 4 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 0 + 2 + 4 + 5 + 1 + 2 + 2 + 1 + 8 + 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 1902256290.

Other Providers at the Same Location


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

Specialist
3330 MASONIC DR
ALEXANDRIA, LA 71301
Pathology (Anatomic Pathology & Clinical Pathology)
3330 MASONIC DR, LABORATORY
ALEXANDRIA, LA 71301
Pathology (Anatomic Pathology & Clinical Pathology)
3330 MASONIC DR, LABORATORY
ALEXANDRIA, LA 71301
Pediatrics (Neonatal-Perinatal Medicine)
3330 MASONIC DR, CHRISTUS ST FRANCES CABRINI HOSPITAL
ALEXANDRIA, LA 71301
Radiology (Radiation Oncology)
3330 MASONIC DR, CANCER CENTER
ALEXANDRIA, LA 71301
Internal Medicine (Hematology & Oncology)
3330 MASONIC DR
ALEXANDRIA, LA 71301
Emergency Medicine
3330 MASONIC DR
ALEXANDRIA, LA 71301
Emergency Medicine
3330 MASONIC DR
ALEXANDRIA, LA 71301
Emergency Medicine
3330 MASONIC DR
ALEXANDRIA, LA 71301
Emergency Medicine
3330 MASONIC DR
ALEXANDRIA, LA 71301
Emergency Medicine
3330 MASONIC DR
ALEXANDRIA, LA 71301
Long Term Care Hospital
3330 MASONIC DR, 4TH FLOOR
ALEXANDRIA, LA 71301
Nurse Practitioner
3330 MASONIC DR
ALEXANDRIA, LA 71301
Nurse Practitioner (Family)
3330 MASONIC DR
ALEXANDRIA, LA 71301
Radiology (Radiation Oncology)
3330 MASONIC DR
ALEXANDRIA, LA 71301
Emergency Medicine (Emergency Medical Services)
3330 MASONIC DR
ALEXANDRIA, LA 71301
Obstetrics & Gynecology
3330 MASONIC DR, SUITE 3064
ALEXANDRIA, LA 71301
Psychiatry & Neurology (Hospice and Palliative Medicine)
3330 MASONIC DR, SUITE 105
ALEXANDRIA, LA 71301
Long Term Care Hospital
3330 MASONIC DR, 4TH FLOOR
ALEXANDRIA, LA 71301
Skilled Nursing Facility
3330 MASONIC DR, 4TH FLOOR
ALEXANDRIA, LA 71301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902256290, enumerated as an "individual" on June 16, 2016.

The provider is located at 3330 MASONIC DR ALEXANDRIA, LA 71301 and the phone number is (318) 448-6530.

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

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