MICHELLE HINTON NP
NPI 1972993533
Nurse Practitioner in Effingham, IL
NPI Status: Active since February 03, 2015
Contact Information
109 W JEFFERSON AVE
EFFINGHAM, IL
ZIP 62401
Phone: (618) 780-9350
Fax: (618) 266-3180
- Individual
- Female
- Nurse Practitioner
- Opted-Out Medicare
About MICHELLE HINTON
This page provides the complete NPI Profile along with additional information for Michelle Hinton, a provider established in Effingham, Illinois with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1972993533 assigned on February 2015. The practitioner's primary taxonomy code is 363L00000X with license number 209012523 (IL). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1972993533
- Provider Name
- MICHELLE HINTON NP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 109 W JEFFERSON AVE EFFINGHAM, IL 62401
- Location Phone
- (618) 780-9350
- Location Fax
- (618) 266-3180
- Mailing Address
- 5103 KINOKA RD ALMA, IL 62807
- Mailing Phone
- (618) 322-2243
- Mailing Fax
- (618) 266-3180
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-03-2015
- Last Update Date
- 10-13-2021
- Code Navigator
A nurse practitioner (NP) like Michelle Hinton 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.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Michelle Hinton opted out of Medicare effective on 10-01-2021 until 10-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 305 W Virginia Ave
Effingham, IL 62401
(618) 780-9350
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.
- 209012523
- License State
- IL
- 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.
Medicare Participation & PECOS Enrollment Status
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.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-01-2021
Opt-Out End Date: 10-01-2027
Eligible to Order and Refer? No
Reviews for MICHELLE HINTON NP
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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 1972993533, we treat the final digit (3) 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 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).
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 77 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972993533, enumerated as an "individual" on February 03, 2015.
The provider is located at 109 W JEFFERSON AVE EFFINGHAM, IL 62401 and the phone number is (618) 780-9350.
Nurse Practitioner with taxonomy code 363L00000X.
