MARK REID MICHAEL APRN
NPI 1992138382
Nurse Practitioner - Acute Care in Flagstaff, AZ


Quality Rating: 77.01 out of 100 score

NPI Status: Active since August 21, 2013

Contact Information

1200 N BEAVER ST
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 779-7880

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  • Individual
  • Male
  • Nurse Practitioner
  • Acute Care
  • Accepts Insurance

About MARK MICHAEL

This page provides the complete NPI Profile along with additional information for Mark Michael, a provider established in Flagstaff, Arizona with a medical specialization in Nurse Practitioner, focusing in acute care . The healthcare provider is registered in the NPI registry with number 1992138382 assigned on August 2013. The practitioner's primary taxonomy code is 363LA2100X with license number AP7279 (AZ). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1992138382
Provider Name
MARK REID MICHAEL APRN
Gender
Male
Entity Type
Individual
Location Address
1200 N BEAVER ST FLAGSTAFF, AZ 86001
Location Phone
(928) 779-7880
Mailing Address
1200 N BEAVER ST FLAGSTAFF, AZ 86001
Mailing Phone
(928) 213-6235
Mailing Fax
Is Sole Proprietor?
Yes
Enumeration Date
08-21-2013
Last Update Date
09-24-2020
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A nurse practitioner (NP) like Mark Michael 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 Acute Care

Taxonomy Code
363LA2100X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
AP7279
License State
AZ

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)
1282NC0060XHospitals

General Acute Care Hospital
Critical Access

6743505-4405 (UT)

Insurance Plans Accepted

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

  • AZ Blue ACA StandardHealth Silver with Health Choice - HMO

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

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.

Follow-up hospital inpatient care per day, typically 15 minutes

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

This service was performed 18 times for 12 patients

Initial hospital inpatient care per day, typically 30 minutes

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

This service was performed 18 times for 18 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 11 times for 11 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 77.01, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 77.01 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 59.66

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 63.71

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 63.71

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Reviews for MARK REID MICHAEL APRN

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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 1992138382, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
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 9 → 18 → 9 1 → 2 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 8 + 2 + 2 + 3 + 1 + 6 + 3 + 1 + 6 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1992138382.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Pathology (Anatomic Pathology & Clinical Pathology)
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Pharmacist
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Pathology (Anatomic Pathology & Clinical Pathology)
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Pediatrics
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Emergency Medicine
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Surgery
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Emergency Medicine
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Physical Therapist
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Occupational Therapist
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Physical Therapist (Pediatrics)
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Nurse Practitioner (Family)
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Emergency Medicine
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Emergency Medicine
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Emergency Medicine
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Emergency Medicine
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Emergency Medicine
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Occupational Therapist (Pediatrics)
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Audiologist
1200 N BEAVER ST, AUDIOLOGY DEPARTMENT
FLAGSTAFF, AZ 86001
Physical Therapist
1200 N BEAVER ST
FLAGSTAFF, AZ 86001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992138382, enumerated as an "individual" on August 21, 2013.

The provider is located at 1200 N BEAVER ST FLAGSTAFF, AZ 86001 and the phone number is (928) 779-7880.

Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.

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