ANDREA LOUISE RICHTER-WERNING MD
NPI 1235188392
Obstetrics & Gynecology in Shenandoah, TX
NPI Status: Active since May 08, 2006
Contact Information
17183 INTERSTATE 45 S STE 410
SHENANDOAH, TX
ZIP 77385
Phone: (281) 602-7380
Fax: (281) 602-7386
- Individual
- Female
- Obstetrics & Gynecology
- Accepts Insurance
- Opted-Out Medicare
About ANDREA RICHTER-WERNING
This page provides the complete NPI Profile along with additional information for Andrea Richter-werning, a women's health care provider established in Shenandoah, Texas with a medical specialization in Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1235188392 assigned on May 2006. The practitioner's primary taxonomy code is 207V00000X with license number M0883 (TX). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1235188392
- Provider Name
- ANDREA LOUISE RICHTER-WERNING MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 17183 INTERSTATE 45 S STE 410 SHENANDOAH, TX 77385
- Location Phone
- (281) 602-7380
- Location Fax
- (281) 602-7386
- Mailing Address
- 17183 INTERSTATE 45 S STE 410 SHENANDOAH, TX 77385
- Mailing Phone
- (281) 602-7380
- Mailing Fax
- (281) 602-7386
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-08-2006
- Last Update Date
- 07-21-2022
- Code Navigator
Women's health care providers like Andrea Richter-werning treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, 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. Andrea Richter-werning opted out of Medicare effective on 06-20-2022 until 06-20-2026. 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.
Location Map
Secondary Locations
- 9200 Pinecroft Dr Ste 400
The Woodlands, TX 77380
(281) 292-5774
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
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- M0883
- License State
- TX
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Community Premier Bronze 003 (No deductible for PCP, Free Preventive Care, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Bronze 018 (No deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Gold 005 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Gold 021 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Silver 020 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Standard - HMO
- UHC Gold Standard $0 Indiv Ded ($0 Virtual Urgent Care) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Silver Standard - HMO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*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 |
|---|---|---|---|
| 8R8343 | OTHER (01) | TX | BLUECROSS AND BLUESHIELD |
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: 06-20-2022
Opt-Out End Date: 06-20-2026
Eligible to Order and Refer? No
Reviews for ANDREA LOUISE RICHTER-WERNING MD
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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 | 2 | 3 | 5 | 1 | 8 | 8 | 3 | 9 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 2 | 8 | 16 | 3 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 2 + 8 + 1 + 6 + 3 + 1 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1235188392 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 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1346486743 | JENNIFER DUNN HUEBNER MD Individual | Obstetrics & Gynecology | 17183 INTERSTATE 45 S STE 410 SHENANDOAH, TX 77385 (832) 602-7380 |
| 1275709206 | TARA LYN WINKELMANN M.D. Individual | Obstetrics & Gynecology | 17183 INTERSTATE 45 S STE 410 SHENANDOAH, TX 77385 (281) 602-7380 |
| 1669761714 | ALL ABOUT WOMEN OBSTETRICS & GYNECOLOGY PLLC Organization | Obstetrics & Gynecology | 17183 INTERSTATE 45 S STE 410 SHENANDOAH, TX 77385 (281) 602-7380 |
| 1679530141 | KATHERINE T SULLIVAN MD Individual | Obstetrics & Gynecology | 17183 INTERSTATE 45 S STE 410 SHENANDOAH, TX 77385 (281) 602-7380 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235188392, enumerated in the NPI registry as an "individual" on May 08, 2006
The provider is located at 17183 Interstate 45 S Ste 410 Shenandoah, Tx 77385 and the phone number is (281) 602-7380
The provider's speciality is Obstetrics & Gynecology with taxonomy code 207V00000X
The provider might be accepting Accepts: Community Health Choice, UnitedHealthcare,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on June 20, 2022 to opt-out of the Medicare program. The provider is excluded from the Medicare program until June 20, 2026.
This NPI record was last updated on May 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].
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.