ALICE MYERS APN
NPI 1679560312
Nurse Practitioner in Johnson City, TN
NPI Status: Active since September 27, 2005
Contact Information
401 E MAIN ST
JOHNSON CITY, TN
ZIP 37601
Phone: (423) 929-2548
Fax: (423) 722-2060
- Individual
- Female
- Years of Experience 23
- Nurse Practitioner
- PECOS Enrolled
- Accepts Medicare Approved Payment
About ALICE MYERS
Alice Myers is a provider established in Johnson City, Tennessee and her medical specialization is Nurse Practitioner with more than 23 years of experience. She graduated from East Tennessee State University Quillen College Of Medicine in 2001. The healthcare provider is registered in the NPI registry with number 1679560312 assigned on September 2005. The practitioner's primary taxonomy code is 363L00000X with license number RN64748 (TN). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1679560312
- Provider Name
- ALICE MYERS APN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 401 E MAIN ST JOHNSON CITY, TN 37601
- Location Phone
- (423) 929-2548
- Location Fax
- (423) 722-2060
- Mailing Address
- 401 E MAIN ST JOHNSON CITY, TN 37601
- Mailing Phone
- (423) 929-2548
- Mailing Fax
- (423) 722-2060
- Medical School Name
- EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
- Graduation Year
- 2001
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-27-2005
- Last Update Date
- 02-04-2014
- Code Navigator
A nurse practitioner (NP) like Alice Myers 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.
Alice Myers 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.
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.08 for a new patient copayment and $24.46 for an established patient copayment.
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.
- RN64748
- License State
- TN
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
BlueCross BlueShield of Tennessee
- BlueCross B07S HSA + $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross B08S $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross B10S $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross B15S $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross B16S $50 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross G06S $35 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross G07S $10 PCP Copay at Blue of TN + $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross G08S $30 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross S04S $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross S24S $35 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross S25S $55 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross S26S $40 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross S27S $60 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
Cigna Healthcare
- Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 5500 Indiv Med Deductible - EPO
- Connect Bronze 6500 Indiv Med Deductible - EPO
- Connect Bronze 8500 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold 500 Indiv Med Deductible - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 0 Indiv Med Deductible - EPO
- Connect Silver 3000 Indiv Med Deductible - EPO
- Connect Silver 4000 Indiv Med Deductible - EPO
- Connect Silver 5000 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
Medicare
Medicaid
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
RN64748 | OTHER (01) | TN | NURSING LICENSE |
PECOS Enrollment and Medicare Participation Status
Alice Myers 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: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) 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
PECOS PAC ID: 7618047028
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: I20080528000205
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.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
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
Other DME (D1E)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
4 DME suppliers used 12 Medicare Claims 29 Services Paid
Other DME (D1E)
Nebulizer, with compressor (HCPCS:E0570)
1 DME suppliers used 12 Medicare Claims 14 Services Paid
Oxygen and supplies (D1C)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
1 DME suppliers used 22 Medicare Claims 24 Services Paid
Oxygen and supplies (D1C)
Portable oxygen concentrator, rental (HCPCS:E1392)
1 DME suppliers used 22 Medicare Claims 24 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 37601 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.32
- Minimum New Patient Price $54.58
- Maximum New Patient Price $167.19
- Average New Patient Copayment $21.08
- Minimum New Patient Copayment $13.64
- Maximum New Patient Copayment $41.79
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.84
- Minimum Established Patient Price $16.86
- Maximum Established Patient Price $136.82
- Average Established Patient Copayment $24.46
- Minimum Established Patient Copayment $4.21
- Maximum Established Patient Copayment $34.2
* 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.
Clinician Services
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.
- 74
Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- 67
Blood test, comprehensive group of blood chemicals (HCPCS:80053)
- 64
Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
- 22
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- 22
Hemoglobin a1c level (HCPCS:83036)
- 16
Urinalysis, manual test (HCPCS:81002)
Hospital Affiliations
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Alice Myers is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
JOHNSON CITY MEDICAL CENTER | 400 N STATE OF FRANKLIN RD JOHNSON CITY, TN 37604 | (423) 431-6111 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 7 | 9 | 5 | 6 | 0 | 3 | 1 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 14 | 9 | 10 | 6 | 0 | 3 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 1 + 4 + 9 + 1 + 0 + 6 + 0 + 3 + 2 + 24 = 58 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 58 = 2 | 2 |
The NPI number 1679560312 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1639179617 | RICHARD R BOWIE M.D. Individual | Surgery | 401 E MAIN ST JOHNSON CITY, TN 37601 (423) 722-2057 |
1275533259 | ZVJEZDANA DEKIC-DJORDJEVIC M.D. Individual | Family Medicine | 401 E MAIN ST JOHNSON CITY, TN 37601 (423) 722-2057 |
1831199868 | RICARDO S MARTIN JR. M.D. Individual | Surgery | 401 E MAIN ST JOHNSON CITY, TN 37601 (423) 722-2057 |
1932160371 | BRYAN ALLISON FLINT MD Individual | Family Medicine | 401 E MAIN ST JOHNSON CITY, TN 37601 (423) 929-2584 |
1184669764 | CAROLYN BRYANT EVERLEY LCSW Individual | Counselor (Mental Health) | 401 E MAIN ST JOHNSON CITY, TN 37601 (423) 283-1023 |
1821160334 | MRS. WENDY R WILGUS APN Individual | Family Medicine | 401 E MAIN ST JOHNSON CITY, TN 37601 (423) 929-2584 |
1841350030 | MRS. PATRICIA ANN HUMPHREYS LPC Individual | Counselor (Professional) | 401 E MAIN ST SUITE 4 JOHNSON CITY, TN 37601 (423) 283-4958 |
1194876490 | DR. JOSEPH KURT NEUMANN PH.D. Individual | Psychologist (Clinical) | 401 E MAIN ST SUITE 4 JOHNSON CITY, TN 37601 (423) 283-4958 |
1588716690 | COLLEEN GLORIA HARRISON OTR Individual | Occupational Therapist | 401 E MAIN ST JOHNSON CITY, TN 37601 (423) 232-2866 |
1326224304 | MRS. SABRINA LYNN VANFLEET OTR/L Individual | Occupational Therapist | 401 E MAIN ST SUITE 5 JOHNSON CITY, TN 37601 (423) 722-2062 |
1962658526 | MS. ELSIE GAIL RAIONE PT Individual | Physical Therapist (Pediatrics) | 401 E MAIN ST SUITE 5 JOHNSON CITY, TN 37601 (423) 722-2062 |
1083862205 | RACHEL CALL MSOT, OTR/L Individual | Occupational Therapist | 401 E MAIN ST JOHNSON CITY, TN 37601 (423) 722-2062 |
1205079258 | MRS. VICTORIA LYNNE LEGG Individual | Occupational Therapist | 401 E MAIN ST SUITE 5 JOHNSON CITY, TN 37601 (423) 722-2062 |
1093945180 | MRS. SUSAN POPE CHINOUTH OTR/L Individual | Occupational Therapist (Pediatrics) | 401 E MAIN ST JOHNSON CITY, TN 37601 (423) 232-2866 |
1316269087 | MRS. SHERI LYNN BURLESON MS OTR/L Individual | Occupational Therapist | 401 E MAIN ST JOHNSON CITY, TN 37601 (423) 722-2062 |
1871815498 | MRS. LAUREN EMILY SIKORA MSOTR/L Individual | Occupational Therapist | 401 E MAIN ST SUITE 5 JOHNSON CITY, TN 37601 (423) 722-2062 |
1821393687 | ALICIA MARIE MORTON OTR Individual | Occupational Therapist | 401 E MAIN ST #5 JOHNSON CITY, TN 37601 (423) 232-2866 |
1346539863 | MRS. CHRISTAL SHEETS WHITEHEAD FNP-BC Individual | Nurse Practitioner (Family) | 401 E MAIN ST JOHNSON CITY, TN 37601 (423) 929-2584 |
1952684243 | MRS. VICKIE L GRAGG PTA Individual | Physical Therapy Assistant | 401 E MAIN ST JOHNSON CITY, TN 37601 (423) 722-2062 |
1891069399 | LAURA ELIZABETH VAN ECK MS, OTR Individual | Occupational Therapist | 401 E MAIN ST JOHNSON CITY, TN 37601 (423) 722-2062 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679560312, enumerated in the NPI registry as an "individual" on September 27, 2005
The provider is located at 401 E Main St Johnson City, Tn 37601 and the phone number is (423) 929-2548
The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X
The provider has more than 23 years of experience. She graduated from East Tennessee State University Quillen College Of Medicine in 2001.
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Cigna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of May 21, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.32 with an average copayment of $21.08 for new patient appointments. Established patients should expect a typical charge of $97.84 and an average copayment of 24.46. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Insertion of needle into vein for collection of blood sample, Blood test, comprehensive group of blood chemicals, Complete blood cell count (red cells, white blood cell, platelets), automated test, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Hemoglobin a1c level and Urinalysis, manual test.
The practitioner is affiliated to the following hospital(s): JOHNSON CITY MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on September 27, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.