DEREK HENNINGSEN
NPI 1992153209
Exclusive Provider Organization in Debary, FL
NPI Status: Active since May 26, 2016
Contact Information
132 LUCERNE DR
DEBARY, FL
ZIP 32713
Phone: (321) 363-6592
- Individual
- Male
- Exclusive Provider Organization
About DEREK HENNINGSEN
This page provides the complete NPI Profile along with additional information for Derek Henningsen, a provider established in Debary, Florida with a medical specialization in Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1992153209 assigned on May 2016. The practitioner's primary taxonomy code is 302F00000X with license number W325026 (FL). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1992153209
- Provider Name
- DEREK HENNINGSEN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 132 LUCERNE DR DEBARY, FL 32713
- Location Phone
- (321) 363-6592
- Mailing Address
- 132 LUCERNE DR DEBARY, FL 32713
- Mailing Phone
- (321) 363-6592
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-26-2016
- Last Update Date
- 05-26-2016
- Code Navigator
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
Exclusive Provider Organization
- Taxonomy Code
- 302F00000X
- Type
- Managed Care Organizations
- License No.
- W325026
- License State
- FL
- Taxonomy Description
- (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
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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 1992153209, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
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 61 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992153209, enumerated as an "individual" on May 26, 2016.
The provider is located at 132 LUCERNE DR DEBARY, FL 32713 and the phone number is (321) 363-6592.
Exclusive Provider Organization with taxonomy code 302F00000X.
