MRS. ELIZABETH JEAN WARGELIN OTR/L
NPI 1982908521
Occupational Therapist - Pediatrics in Mankato, MN
NPI Status: Active since December 22, 2010
Contact Information
1400 MADISON AVE
MANKATO, MN
ZIP 56001
Phone: (507) 385-2600
- Individual
- Female
- Years of Experience 16
- Occupational Therapist
- Pediatrics
- Accepts Insurance
- Accepts Medicare Approved Payment
About ELIZABETH WARGELIN
This page provides the complete NPI Profile along with additional information for Elizabeth Wargelin, a provider established in Mankato, Minnesota with a medical specialization in Occupational Therapist, focusing in pediatrics and more than 16 years of experience. The healthcare provider is registered in the NPI registry with number 1982908521 assigned on December 2010. The practitioner's primary taxonomy code is 225XP0200X with license number 103928 (MN). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1982908521
- Provider Name
- MRS. ELIZABETH JEAN WARGELIN OTR/L
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1400 MADISON AVE MANKATO, MN 56001
- Location Phone
- (507) 385-2600
- Mailing Address
- 1025 MARSH ST MANKATO, MN 56001
- Mailing Phone
- (507) 625-4031
- Medical School Name
- OTHER
- Graduation Year
- 2010
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-22-2010
- Last Update Date
- 09-17-2020
- Code Navigator
Location Map
Secondary Locations
- 1025 Marsh St
Mankato, MN 56001
(507) 385-4700 - 309 Holly Ln
Mankato, MN 56001
(507) 388-5437
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 Pediatrics
- Taxonomy Code
- 225XP0200X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 103928
- License State
- MN
- Taxonomy Description
- Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or occupations. Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $10,600 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,500 - PPO
- Sanford Individual Simplicity $7,200 HSA Qualified - PPO
- Sanford Individual Simplicity Standardized $2,000 - PPO
- Sanford Individual Simplicity Standardized $6,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Elizabeth Wargelin is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
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: 9931409935
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: I20151124000012
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? 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.
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.
Evaluation for occupational therapy, typically 30 minutes
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
Training for self-care or home management, each 15 minutes
An evaluation for occupational therapy is a process where a therapist assesses your physical and mental abilities to perform daily activities. This 30-minute session helps identify any difficulties you may have and develop strategies for improvement.
This service was performed 24 times for 23 patientsThis therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
This service was performed 111 times for 11 patientsThis service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.
This service was performed 35 times for 20 patientsReviews for MRS. ELIZABETH JEAN WARGELIN OTR/L
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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 1982908521, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
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 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
MANKATO, MN 56001
MANKATO, MN 56001
MANKATO, MN 56001
MANKATO, MN 56001
MANKATO, MN 56001
MANKATO, MN 56001
MANKATO, MN 56001
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982908521, enumerated as an "individual" on December 22, 2010.
The provider is located at 1400 MADISON AVE MANKATO, MN 56001 and the phone number is (507) 385-2600.
Occupational Therapist with taxonomy code 225XP0200X and a focus in Pediatrics.
The provider might be accepting Accepts: Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.
