MRS. PAULA WAGGONER VERGNE
NPI 1902569239
Occupational Therapist - Gerontology in Spring Hill, TN
NPI Status: Active since October 13, 2021
Contact Information
3056 MILES JOHNSON PKWY
SPRING HILL, TN
ZIP 37174
Phone: (877) 407-3422
Fax: (877) 407-4329
- Individual
- Female
- Years of Experience 21
- Occupational Therapist
- Gerontology
- Accepts Insurance
- May Accept Medicare Approved Payment
About PAULA VERGNE
This page provides the complete NPI Profile along with additional information for Paula Vergne, a provider established in Spring Hill, Tennessee with a medical specialization in Occupational Therapist, focusing in gerontology and more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1902569239 assigned on October 2021. The practitioner's primary taxonomy code is 225XG0600X with license number 2792 (TN). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1902569239
- Provider Name
- MRS. PAULA WAGGONER VERGNE
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3056 MILES JOHNSON PKWY SPRING HILL, TN 37174
- Location Phone
- (877) 407-3422
- Location Fax
- (877) 407-4329
- Mailing Address
- 1035 FULTON GREER RD FRANKLIN, TN 37064
- Medical School Name
- OTHER
- Graduation Year
- 2005
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-13-2021
- Last Update Date
- 04-26-2025
- Code Navigator
Location Map
Secondary Locations
- 1035 Fulton Greer Rd
Franklin, TN 37064
(615) 507-8230
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
Occupational Therapist Gerontology
- Taxonomy Code
- 225XG0600X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 2792
- License State
- TN
- Taxonomy Description
- Occupational therapists work with older adults in virtually every setting: assisted living, wellness programs, hospitals, nursing homes, senior centers, clinics and in the home. Occupational therapists bring an understanding of the importance of participation and occupation for overall well-being to those who are experiencing disabling conditions related to aging. The primary overarching goal of occupational therapy services with this population is to maximize independence and participation, thereby enabling an older person to continue to live successfully in his or her chosen environment. Occupational therapists can help older adults by developing strategies to help or maintain safety and well-being, to assist with life transitions, and to compensate for challenges they experience in activities of daily living, instrumental activities of daily living, leisure participation, social participation, and productive activities.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
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 |
|---|---|---|---|
| 2792 | OTHER (01) | TN | STATE OF TN-BOARD OF OCCUPATIONAL THERAPY |
Medicare Participation & PECOS Enrollment Status
Paula Vergne is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
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.
PECOS PAC ID: 7315338258
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: I20220103001003
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? Maybe
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.
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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 1902569239, 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 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 61 is 70. 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.
SPRING HILL, TN 37174
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902569239, enumerated as an "individual" on October 13, 2021.
The provider is located at 3056 MILES JOHNSON PKWY SPRING HILL, TN 37174 and the phone number is (877) 407-3422.
Occupational Therapist with taxonomy code 225XG0600X and a focus in Gerontology.
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Medicare and. Please consult your insurance carrier or call the provider to verify.
