MRS. DONNA HAMILL AGPCNP-BC
NPI 1992108641
Nurse Practitioner - Primary Care in Grosse Pointe, MI
NPI Status: Active since October 08, 2014
Contact Information
468 CADIEUX RD
GROSSE POINTE, MI
ZIP 48230
Phone: (313) 473-1000
- Individual
- Female
- Nurse Practitioner
- Primary Care
- PECOS Enrolled
About DONNA HAMILL
This page provides the complete NPI Profile along with additional information for Donna Hamill, a provider established in Grosse Pointe, Michigan with a medical specialization in Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1992108641 assigned on October 2014. The practitioner's primary taxonomy code is 363LP2300X with license number 4704282692 (MI). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1992108641
- Provider Name
- MRS. DONNA HAMILL AGPCNP-BC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 468 CADIEUX RD GROSSE POINTE, MI 48230
- Location Phone
- (313) 473-1000
- Mailing Address
- 301 MERRIWEATHER RD GROSSE POINTE FARMS, MI 48236
- Mailing Phone
- (313) 282-4112
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-08-2014
- Last Update Date
- 03-03-2015
- Code Navigator
A nurse practitioner (NP) like Donna Hamill 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 Primary Care
- Taxonomy Code
- 363LP2300X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 4704282692
- License State
- MI
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163W00000X | Nursing Service Providers | Registered Nurse | 4704282692 (MI) |
Medicare Participation & PECOS Enrollment Status
Donna Hamill 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: Durable Medical Equipment (DME) 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: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
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 (DE017N)
Supplies for maintenance of insulin infusion catheter, per week (HCPCS:A4224)
7 DME suppliers used 45 Medicare Claims 496 Services Paid
DME-Other DME (DE017N)
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each (HCPCS:A4225)
6 DME suppliers used 41 Medicare Claims 1341 Services Paid
DME-Medical/Surgical Supplies (DA000N)
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:A4238)
3 DME suppliers used 18 Medicare Claims 18 Services Paid
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
48 DME suppliers used 129 Medicare Claims 509 Services Paid
DME-Medical/Surgical Supplies (DA000N)
Lancets, per box of 100 (HCPCS:A4259)
22 DME suppliers used 46 Medicare Claims 93 Services Paid
DME-Other DME (DE017N)
External ambulatory infusion pump, insulin (HCPCS:E0784)
1 DME suppliers used 25 Medicare Claims 25 Services Paid
DME-Other DME (DE017N)
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)
13 DME suppliers used 422 Medicare Claims 429 Services Paid
Unknown
Treatment-Injections and Infusions (nononcologic) (RI000N)
Insulin for administration through dme (i.e., insulin pump) per 50 units (HCPCS:J1817)
19 DME suppliers used 45 Medicare Claims 7170 Services Paid
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 48230 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.76
- Minimum New Patient Price $58.04
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.69
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $102.35
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $143.49
- Average Established Patient Copayment $25.58
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $35.87
* 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 1992108641, 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 20 providers are registered at the same or a nearby location.
GROSSE POINTE, MI 48230
GROSSE POINTE, MI 48230
GROSSE POINTE, MI 48230
GROSSE POINTE, MI 48230
GROSSE POINTE, MI 48230
GROSSE POINTE, MI 48230
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992108641, enumerated as an "individual" on October 08, 2014.
The provider is located at 468 CADIEUX RD GROSSE POINTE, MI 48230 and the phone number is (313) 473-1000.
Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.
