REBECCA LYNN DAUERMAN APN
NPI 1114967072
Nurse Practitioner - Psychiatric/Mental Health in Cedar Knolls, NJ

NPI Status: Active since June 08, 2006

Contact Information

201 MALAPARDIS ROAD
SUITE 205
CEDAR KNOLLS, NJ
ZIP 07927
Phone: (973) 605-5000
Fax: (973) 898-9305

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  • Individual
  • Female
  • Nurse Practitioner
  • Psychiatric/Mental Health
  • Opted-Out Medicare

About REBECCA DAUERMAN

This page provides the complete NPI Profile along with additional information for Rebecca Dauerman, a provider established in Cedar Knolls, New Jersey with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1114967072 assigned on June 2006. The practitioner's primary taxonomy code is 363LP0808X with license number 26NC09255500 (NJ). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1114967072
Provider Name
REBECCA LYNN DAUERMAN APN
Gender
Female
Entity Type
Individual
Location Address
201 MALAPARDIS ROAD SUITE 205 CEDAR KNOLLS, NJ 07927
Location Phone
(973) 605-5000
Location Fax
(973) 898-9305
Mailing Address
201 MALAPARDIS ROAD CEDAR KNOLLS, NJ 07927
Mailing Phone
(973) 605-5000
Mailing Fax
(973) 898-9305
Is Sole Proprietor?
No
Enumeration Date
06-08-2006
Last Update Date
03-14-2012
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A nurse practitioner (NP) like Rebecca Dauerman 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.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Rebecca Dauerman opted out of Medicare effective on 10-01-2022 until 10-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

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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 Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
26NC09255500
License State
NJ

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)
1163WP0808XNursing Service Providers

Registered Nurse
Psychiatric/Mental Health

26NO09255500 (NJ)

Medicare Participation & PECOS Enrollment Status

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.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 10-01-2022

  • Opt-Out End Date: 10-01-2026

  • Eligible to Order and Refer? No

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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.
1114967072
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
212418614014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 8 + 6 + 1 + 4 + 0 + 1 + 4 + 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 = 22

The NPI number 1114967072 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114967072, enumerated in the NPI registry as an "individual" on June 08, 2006

The provider is located at 201 Malapardis Road Suite 205 Cedar Knolls, Nj 07927 and the phone number is (973) 605-5000

The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health

No, the provider signed an affidavit on October 01, 2022 to opt-out of the Medicare program. The provider is excluded from the Medicare program until October 01, 2026.

This NPI record was last updated on June 08, 2006. 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].
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