VALERIE ANN AHERN N.P., NPI 1588665574 - Nurse Practitioner in Grand Haven, MI

VALERIE ANN AHERN N.P.
NPI 1588665574
Nurse Practitioner - Family in Grand Haven, MI

NPI Status: Active since August 02, 2005

Contact Information

15100 WHITTAKER WAY
GRAND HAVEN, MI
ZIP 49417
Phone: (616) 935-6320

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  • Individual
  • Female
  • Years of Experience 28
  • Nurse Practitioner
  • Family
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About VALERIE AHERN

Valerie Ahern is a provider established in Grand Haven, Michigan and her medical specialization is Nurse Practitioner with a focus in family with more than 28 years of experience. The healthcare provider is registered in the NPI registry with number 1588665574 assigned on August 2005. The practitioner's primary taxonomy code is 363LF0000X with license number 4704187883 (MI). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1588665574
Provider Name
VALERIE ANN AHERN N.P.
Gender
Female
Entity Type
Individual
Location Address
15100 WHITTAKER WAY GRAND HAVEN, MI 49417
Location Phone
(616) 935-6320
Mailing Address
100 MICHIGAN ST NE # MC845 GRAND RAPIDS, MI 49503
Medical School Name
OTHER
Graduation Year
1996
Is Sole Proprietor?
No
Enumeration Date
08-02-2005
Last Update Date
07-31-2023
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A nurse practitioner (NP) like Valerie Ahern 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.

Valerie Ahern 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: $21.79 for a new patient copayment and $25.16 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 Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
4704187883
License State
MI

Insurance Plans Accepted

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

  • Molina Healthcare

    • Gold 1 - HMO
    • Gold 1 with Adult Vision Services - HMO
    • Gold 8 - HMO
    • Silver 1 - HMO
    • Silver 1 with Adult Vision Services - HMO
    • Silver 12 with First 4 Primary Care Visits Free - HMO
    • Silver 8 - HMO
  • Oscar Insurance Company

    • Bronze Classic - EPO
    • Bronze Classic 4700 - EPO
    • Bronze Classic Standard - EPO
    • Bronze Elite + PCP Saver Plus - EPO
    • Bronze Simple 2 - EPO
    • Gold Classic Standard - EPO
    • Gold Elite Saver Plus - EPO
    • Secure - EPO
    • Silver Classic - EPO
    • Silver Classic Standard - EPO
    • Silver Elite Saver Plus - EPO
    • Silver Simple PCP Saver - EPO
  • Priority Health

    • MyPriority Balanced Silver - HMO
    • MyPriority Premier Silver - HMO
    • MyPriority Standard Bronze - HMO
    • MyPriority Standard Bronze - Travel - HMO
    • MyPriority Standard Gold - HMO
    • MyPriority Standard Silver - HMO
    • MyPriority Standard Silver - Travel - HMO
    • MyPriority Value Bronze - HMO
    • MyPriority Value Bronze HSA - HMO

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

PECOS Enrollment and Medicare Participation Status

Valerie Ahern 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: 4486660321

    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: I20060301000436

    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

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 49417 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $87.16
  • Minimum New Patient Price $56.39
  • Maximum New Patient Price $172.8
  • Average New Patient Copayment $21.79
  • Minimum New Patient Copayment $14.09
  • Maximum New Patient Copayment $43.2

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.65
  • Minimum Established Patient Price $17.24
  • Maximum Established Patient Price $140.86
  • Average Established Patient Copayment $25.16
  • Minimum Established Patient Copayment $4.31
  • Maximum Established Patient Copayment $35.21

* 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.

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. Valerie Ahern is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SPECTRUM HEALTH100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
(616) 391-1774Acute Care Hospitals

Reviews for VALERIE ANN AHERN N.P.

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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.
1588665574
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2516812610514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 1 + 2 + 6 + 1 + 0 + 5 + 1 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1588665574 is valid because the calculated check digit 4 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
1497262687 KATELYN HARRINGTON SLP
Individual
Speech-Language Pathologist15100 WHITTAKER WAY
GRAND HAVEN, MI 49417
(616) 935-6280
1417464611 SARA GROSSENBACHER OT
Individual
Occupational Therapist15100 WHITTAKER WAY
GRAND HAVEN, MI 49417
(616) 935-6280
1538676713 NATHANAEL CARLSON PT
Individual
Physical Therapist15100 WHITTAKER WAY
GRAND HAVEN, MI 49417
(616) 935-6280
1811405855 ALANA GARCIA PT
Individual
Physical Therapist15100 WHITTAKER WAY
GRAND HAVEN, MI 49417
(616) 935-6280
1487161675 JEAN NIELSEN PT
Individual
Physical Therapist15100 WHITTAKER WAY
GRAND HAVEN, MI 49417
(616) 935-6280
1932397627 RUCHIRA MEHRA MD
Individual
Family Medicine15100 WHITTAKER WAY
GRAND HAVEN, MI 49417
(616) 935-6320
1306294616 CHRISTA HUSTON LMSW
Individual
Social Worker (Clinical)15100 WHITTAKER WAY
GRAND HAVEN, MI 49417
(616) 935-6320
1588103667MR. DAVID THOMAS BLANCHARD OT
Individual
Occupational Therapist15100 WHITTAKER WAY
GRAND HAVEN, MI 49417
(616) 935-6280
1194137059 SHELLEY ANNE SCHERTZER NP
Individual
Nurse Practitioner (Family)15100 WHITTAKER WAY
GRAND HAVEN, MI 49417
(616) 935-6320
1447678115 CARLYN ANN HOEPPNER MD
Individual
Internal Medicine15100 WHITTAKER WAY
GRAND HAVEN, MI 49417
(616) 935-6320
1659853182 BRANDI SUE BROWER LMSW
Individual
Social Worker (Clinical)15100 WHITTAKER WAY
GRAND HAVEN, MI 49417
(616) 935-6320
1235231309 JULIE M KOWACZ MD
Individual
Internal Medicine15100 WHITTAKER WAY
GRAND HAVEN, MI 49417
(616) 935-6210
1386093169MR. ANDREW GENE HARRINGTON PT, DPT
Individual
Physical Therapist15100 WHITTAKER WAY
GRAND HAVEN, MI 49417
(616) 935-6280
1730682261 ROBIN M LINTON-FISHER PT
Individual
Physical Therapist15100 WHITTAKER WAY
GRAND HAVEN, MI 49417
(616) 935-6280
1639650658 JODI ANN BROWN PT
Individual
Physical Therapist15100 WHITTAKER WAY
GRAND HAVEN, MI 49417
(616) 935-6280
1942778915 RACHAEL JOYMARIE SCOBY SLP
Individual
Speech-Language Pathologist15100 WHITTAKER WAY
GRAND HAVEN, MI 49417
(616) 935-6280
1639671597 THERESA CONLIN OT
Individual
Occupational Therapist15100 WHITTAKER WAY
GRAND HAVEN, MI 49417
(616) 935-6280
1821391566 LEAH JOY MEISTE LMSW
Individual
Social Worker (Clinical)15100 WHITTAKER WAY
GRAND HAVEN, MI 49417
(616) 935-6320
1003458423 KELLY LYNN OUELLETTE OT
Individual
Occupational Therapist15100 WHITTAKER WAY
GRAND HAVEN, MI 49417
(616) 935-6280
1437402062 NICOLE ELIZABETH KUBEC LMSW
Individual
Social Worker (Clinical)15100 WHITTAKER WAY
GRAND HAVEN, MI 49417
(616) 935-6320

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588665574, enumerated in the NPI registry as an "individual" on August 02, 2005

The provider is located at 15100 Whittaker Way Grand Haven, Mi 49417 and the phone number is (616) 935-6320

The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider has more than 28 years of experience.

The provider might be accepting Accepts: Molina Healthcare, Oscar Insurance Company and. 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 $87.16 with an average copayment of $21.79 for new patient appointments. Established patients should expect a typical charge of $100.65 and an average copayment of 25.16. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): SPECTRUM HEALTH. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on August 02, 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.