NICHOLAS DEAN HELTON
NPI 1952072258
Nurse Practitioner - Psychiatric/Mental Health in Johnson City, TN

NPI Status: Active since September 26, 2021

Contact Information

403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 431-7111
Fax: (423) 431-7092

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  • Individual
  • Male
  • Nurse Practitioner
  • Psychiatric/Mental Health
  • PECOS Enrolled

About NICHOLAS HELTON

This page provides the complete NPI Profile along with additional information for Nicholas Helton, a provider established in Johnson City, Tennessee with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1952072258 assigned on September 2021. The practitioner's primary taxonomy code is 363LP0808X with license number 30146 (TN). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1952072258
Provider Name
NICHOLAS DEAN HELTON
Gender
Male
Entity Type
Individual
Location Address
403 N STATE OF FRANKLIN RD JOHNSON CITY, TN 37604
Location Phone
(423) 431-7111
Location Fax
(423) 431-7092
Mailing Address
509 MED TECH PKWY STE 100 JOHNSON CITY, TN 37604
Mailing Phone
(423) 302-6565
Is Sole Proprietor?
Yes
Enumeration Date
09-26-2021
Last Update Date
02-22-2022
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A nurse practitioner (NP) like Nicholas Helton 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 Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
30146
License State
TN

Medicare Participation & PECOS Enrollment Status

Nicholas Helton 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

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 176 times for 69 patients

Hospital discharge day management, more than 30 minutes

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

This service was performed 19 times for 19 patients

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 37604 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $81.53
  • Minimum New Patient Price $52.64
  • Maximum New Patient Price $160.89
  • Average New Patient Copayment $20.38
  • Minimum New Patient Copayment $13.16
  • Maximum New Patient Copayment $40.22

Established Patients Visit Costs *

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

  • Average Established Patient Price $93.6
  • Minimum Established Patient Price $16.72
  • Maximum Established Patient Price $131.41
  • Average Established Patient Copayment $23.4
  • Minimum Established Patient Copayment $4.18
  • Maximum Established Patient Copayment $32.85

* 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 NICHOLAS DEAN HELTON

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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 1952072258, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
5
Doubled → 10 → 1 + 0
Pos 4
2
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
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 5 → 10 → 1 0 → 0 2 → 4 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 0 + 2 + 0 + 7 + 4 + 2 + 1 + 0 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1952072258.

Other Providers at the Same Location


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

Psychiatry & Neurology (Psychiatry)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Psychiatry & Neurology (Psychiatry)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Nurse Practitioner (Family)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Social Worker (Clinical)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Social Worker (Clinical)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Counselor (Professional)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Social Worker (Clinical)
403 N STATE OF FRANKLIN RD, WOODRIDGE HOSPITAL
JOHNSON CITY, TN 37604
Nurse Practitioner (Psychiatric/Mental Health)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Nurse Practitioner (Psychiatric/Mental Health)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Psychiatry & Neurology (Psychiatry)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Nurse Practitioner (Psychiatric/Mental Health)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Psychiatry & Neurology (Psychiatry)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Psychologist (Clinical)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Nurse Practitioner (Family)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Physician Assistant
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Psychiatry & Neurology (Psychiatry)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Nurse Practitioner (Family)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Nurse Practitioner (Psychiatric/Mental Health)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Nurse Practitioner (Psychiatric/Mental Health)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952072258, enumerated as an "individual" on September 26, 2021.

The provider is located at 403 N STATE OF FRANKLIN RD JOHNSON CITY, TN 37604 and the phone number is (423) 431-7111.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.