MARY BETH NEWKIRK
NPI 1972912830
Nurse Practitioner in Fort Scott, KS

NPI Status: Active since August 05, 2014

Contact Information

403 WOODLAND HILLS BLVD
FORT SCOTT, KS
ZIP 66701
Phone: (620) 223-8040
Fax: (620) 223-8002

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

About MARY NEWKIRK

This page provides the complete NPI Profile along with additional information for Mary Newkirk, a provider established in Fort Scott, Kansas with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1972912830 assigned on August 2014. The practitioner's primary taxonomy code is 363L00000X with license number 76441 (KS). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1972912830
Provider Name
MARY BETH NEWKIRK
Other Name
MARY BETH NEWKIRK APRN
Other Name Type
Professional Name (2)
Gender
Female
Entity Type
Individual
Location Address
403 WOODLAND HILLS BLVD FORT SCOTT, KS 66701
Location Phone
(620) 223-8040
Location Fax
(620) 223-8002
Mailing Address
403 WOODLAND HILLS BLVD FORT SCOTT, KS 66701
Mailing Phone
(620) 223-8040
Mailing Fax
(620) 223-8002
Is Sole Proprietor?
No
Enumeration Date
08-05-2014
Last Update Date
05-14-2024
Code Navigator

A nurse practitioner (NP) like Mary Newkirk 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

Secondary Locations

  • 302 N Hospital Dr
    Girard, KS 66743
    (620) 724-8291

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

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
76441
License State
KS
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Insurance Plans Accepted

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

  • BlueCare EPO Bronze - EPO
  • BlueCare EPO Gold - EPO
  • BlueCare EPO Gold Plus - EPO
  • BlueCare EPO Silver Plus - EPO
  • BlueCare EPO Simple Bronze HDHP - EPO
  • BlueCare EPO Simple Silver HDHP - EPO
  • BlueCare EPO Standardized Expanded Bronze - EPO
  • BlueCare EPO Standardized Gold - EPO
  • BlueCare EPO Standardized Silver - EPO
  • Balance by Medica Bronze $0 Copay PCP Visits - EPO
  • Balance by Medica Bronze $0 Copay PCP Visits - PPO
  • Balance by Medica Bronze Premier - EPO
  • Balance by Medica Bronze Premier - PPO
  • Balance by Medica Expanded Bronze Standard - EPO
  • Balance by Medica Expanded Bronze Standard - PPO
  • Balance by Medica Gold $0 Copay PCP Visits - EPO
  • Balance by Medica Gold $0 Copay PCP Visits - PPO
  • Balance by Medica Gold Share - EPO
  • Balance by Medica Gold Share - PPO
  • Balance by Medica Gold Standard - EPO
  • Balance by Medica Gold Standard - PPO
  • Balance by Medica Silver $0 Copay PCP Visits - EPO
  • Balance by Medica Silver $0 Copay PCP Visits - PPO
  • Balance by Medica Silver Share - EPO
  • Balance by Medica Silver Share - PPO
  • Balance by Medica Silver Standard - EPO
  • Balance by Medica Silver Standard - PPO
  • Harmony by Medica Bronze $0 Copay PCP Visits - PPO
  • Harmony by Medica Bronze $0 Copay PCP Visits + Adult Eye Exam - PPO

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

Medicare Participation & PECOS Enrollment Status

Mary Newkirk 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

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE005N)

    Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) (HCPCS:E0466)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

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.

Emergency department visit for life threatening or functioning severity

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

This service was performed 13 times for 13 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 66701 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $81.98
  • Minimum New Patient Price $53
  • Maximum New Patient Price $161.67
  • Average New Patient Copayment $20.49
  • Minimum New Patient Copayment $13.25
  • Maximum New Patient Copayment $40.41

Established Patients Visit Costs *

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

  • Average Established Patient Price $94.12
  • Minimum Established Patient Price $16.88
  • Maximum Established Patient Price $132.11
  • Average Established Patient Copayment $23.53
  • Minimum Established Patient Copayment $4.22
  • Maximum Established Patient Copayment $33.02

* 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.

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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 1972912830, 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 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
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
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 7 → 14 → 5 9 → 18 → 9 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 4 + 2 + 1 + 8 + 1 + 4 + 8 + 6 + 24 = 70

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

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1972912830.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Urology
403 WOODLAND HILLS BLVD
FORT SCOTT, KS 66701
Surgery
403 WOODLAND HILLS BLVD
FORT SCOTT, KS 66701
Family Medicine
403 WOODLAND HILLS BLVD
FORT SCOTT, KS 66701
Family Medicine
403 WOODLAND HILLS BLVD
FORT SCOTT, KS 66701
Nurse Practitioner
403 WOODLAND HILLS BLVD
FORT SCOTT, KS 66701
Nurse Practitioner
403 WOODLAND HILLS BLVD
FORT SCOTT, KS 66701
Family Medicine
403 WOODLAND HILLS BLVD
FORT SCOTT, KS 66701
Clinic/Center (Multi-Specialty)
403 WOODLAND HILLS BLVD
FORT SCOTT, KS 66701
Clinic/Center
403 WOODLAND HILLS BLVD
FORT SCOTT, KS 66701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972912830, enumerated as an "individual" on August 05, 2014.

The provider is located at 403 WOODLAND HILLS BLVD FORT SCOTT, KS 66701 and the phone number is (620) 223-8040.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas, Inc. and. Please consult your insurance carrier or call the provider to verify.