NICCOLE LYNNE MCDANIEL MSN, ACNP NPI 1972834190
Nurse Practitioner - Acute Care in Albertville, AL

Individual Female Years of Experience 14 Nurse Practitioner Acute Care PECOS Enrolled Accepts Medicare Approved Payment

About NICCOLE LYNNE MCDANIEL MSN,ACNP

Niccole Mcdaniel is a provider established in Albertville, Alabama and her medical specialization is Nurse Practitioner with a focus in acute care with more than 14 years of experience. The NPI number of Niccole Mcdaniel is 1972834190 and was assigned on January 2010. The practitioner's primary taxonomy code is 363LA2100X with license number 1-084877 (AL). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1972834190
Provider Name NICCOLE LYNNE MCDANIEL MSN,ACNP
Provider Location Address3442 US HIGHWAY 431 ALBERTVILLE, AL 35950
Provider Mailing Address3442 US HIGHWAY 431 ALBERTVILLE, AL 35950
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2009
Is Sole Proprietor?No
Enumeration Date01-28-2010
Last Update Date04-26-2011

A nurse practitioner (NP) like Niccole Lynne Mcdaniel Msn,acnp 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.Niccole Mcdaniel 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.

Niccole Mcdaniel 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 Marshall Medical Centers.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.48 for a new patient copayment and $24.83 for an established patient copayment.



Primary Taxonomy

Taxonomy Code363LA2100X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationAcute Care
License No.1-084877
License StateAL

Business Address

NICCOLE LYNNE MCDANIEL MSN,ACNP
3442 US HIGHWAY 431
ALBERTVILLE, AL
ZIP 35950
Phone: (256) 593-1234

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Mailing Address

NICCOLE LYNNE MCDANIEL MSN,ACNP
3442 US HIGHWAY 431
ALBERTVILLE, AL
ZIP 35950
Phone: (256) 593-1234
Fax: (256) 593-6781


PECOS Enrollment and Medicare Participation

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 ID1850426339
PECOS Enrollment IDI20100323000480
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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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 35950 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
$55.54 $170.61 $85.95
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.88 $42.65 $21.48
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
$16.93 $139.08 $99.33
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.23 $34.77 $24.83

* 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. Niccole Mcdaniel is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MARSHALL MEDICAL CENTERS2505 U S HIGHWAY 431 NORTH
BOAZ, AL 35957
(256) 593-8310Acute Care Hospitals10005

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.
1972834190
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291421638118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 4 + 2 + 1 + 6 + 3 + 8 + 1 + 1 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1972834190 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679568752 RAYMOND C UFFORD M.D.
Individual
Family Medicine3442 US HIGHWAY 431
ALBERTVILLE, AL 35950
(256) 593-1234
1023003019 LARRY R JOHNSTON M.D.
Individual
Family Medicine3442 US HIGHWAY 431
ALBERTVILLE, AL 35950
(256) 593-1234
1245290154SOUTH DEKALB FAMILY MEDICAL ASSOCIATES P.C.
Organization
Family Medicine3442 US HIGHWAY 431
ALBERTVILLE, AL 35950
(256) 593-1234
1619962602 ELLIOTT J. SALTZ M.D.
Individual
Family Medicine3442 US HIGHWAY 431
ALBERTVILLE, AL 35950
(256) 593-1234
1235546334 SABRINA THOMAS CRNP
Individual
Nurse Practitioner (Family)3442 US HIGHWAY 431
ALBERTVILLE, AL 35950
(256) 593-1234
1821486465MRS. JENNIFER S TURNER CRNP
Individual
Nurse Practitioner (Family)3442 US HIGHWAY 431
ALBERTVILLE, AL 35950
(256) 593-1234
1942688320MR. GAYLE L LOMBARD JR. CRNP
Individual
Nurse Practitioner (Family)3442 US HIGHWAY 431
ALBERTVILLE, AL 35950
(256) 593-1234
1881073088 MEGAN LIGHT CRNP
Individual
Nurse Practitioner (Family)3442 US HIGHWAY 431
ALBERTVILLE, AL 35950
(256) 593-1234
1760894927 SHEILA D SIMMONS NP-C
Individual
Nurse Practitioner (Family)3442 US HIGHWAY 431
ALBERTVILLE, AL 35950
(256) 593-1234
1194232132MEDICAL ASSET GROUP, LLC
Organization
Family Medicine3442 US HIGHWAY 431
ALBERTVILLE, AL 35950
(256) 907-9000
1477041804MRS. PEGGY JO ROBERTS MSN, CRNP, FNP-C
Individual
Nurse Practitioner (Family)3442 US HIGHWAY 431
ALBERTVILLE, AL 35950
(256) 907-9000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Niccole Lynne Mcdaniel Msn,acnp is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.