REBECCA JANE HAMILTON NP
NPI 1245226737
Nurse Practitioner in Kingsport, TN
Quality Rating: 96.71 out of 100 score
NPI Status: Active since September 21, 2005
Contact Information
2204 PAVILION DR
SUITE 108
KINGSPORT, TN
ZIP 37660
Phone: (423) 392-6100
Fax: (423) 392-6159
- Individual
- Female
- Nurse Practitioner
About REBECCA HAMILTON
This page provides the complete NPI Profile along with additional information for Rebecca Hamilton, a provider established in Kingsport, Tennessee with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1245226737 assigned on September 2005. The practitioner's primary taxonomy code is 363L00000X with license number APN0000007612 (TN). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1245226737
- Provider Name
- REBECCA JANE HAMILTON NP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2204 PAVILION DR SUITE 108 KINGSPORT, TN 37660
- Location Phone
- (423) 392-6100
- Location Fax
- (423) 392-6159
- Mailing Address
- 2204 PAVILION DR SUITE 108 KINGSPORT, TN 37660
- Mailing Phone
- (423) 392-6100
- Mailing Fax
- (423) 392-6159
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-21-2005
- Last Update Date
- 06-30-2022
- Code Navigator
A nurse practitioner (NP) like Rebecca Hamilton 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.
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
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- APN0000007612
- 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:
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.
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 |
---|---|---|---|
4306925 | OTHER (01) | TN | BCBS TENNESSEE |
010018404 | MEDICAID (05) | VA | |
TN0117 | OTHER (01) | TN | UNITED HEALTHCARE RIVER V |
1524413 | MEDICAID (05) | TN |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 92 times for 69 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 231 times for 186 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 19 times for 19 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 19 times for 19 patientsOverall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 96.71, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 96.71 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 91.08
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Reviews for REBECCA JANE HAMILTON NP
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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 | 4 | 5 | 2 | 2 | 6 | 7 | 3 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 8 | 5 | 4 | 2 | 12 | 7 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 8 + 5 + 4 + 2 + 1 + 2 + 7 + 6 + 24 = 63 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 63 = 7 | 7 |
The NPI number 1245226737 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1932180106 | MARISSA K DAVIS CRNA Individual | Nurse Anesthetist, Certified Registered | 2204 PAVILION DR SUITE 105 KINGSPORT, TN 37660 (423) 392-6343 |
1538134895 | ANITA ARMARAM ALWANI MD Individual | Internal Medicine | 2204 PAVILION DR 200 KINGSPORT, TN 37660 (423) 246-0703 |
1851585517 | ROBERT W SILMON JR. MD Individual | Family Medicine | 2204 PAVILION DR SUITE 310 KINGSPORT, TN 37660 (423) 224-3900 |
1902088644 | DR. JAMES W DENHAM M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 2204 PAVILION DR KINGSPORT, TN 37660 (423) 392-6343 |
1265763668 | MRS. LAUREN AMBROSIA DALEY NP Individual | Nurse Practitioner | 2204 PAVILION DR SUITE 108 KINGSPORT, TN 37660 (423) 392-6100 |
1396049938 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION Organization | Pediatrics | 2204 PAVILION DR SUITE 210 KINGSPORT, TN 37660 (423) 224-3933 |
1518289206 | JAMES BRADLEY GAITHER CRNA Individual | Nurse Anesthetist, Certified Registered | 2204 PAVILION DR SUITE 105 KINGSPORT, TN 37660 (423) 392-6343 |
1730149790 | SHARI K RAJOO MD Individual | Family Medicine | 2204 PAVILION DR SUITE 310 KINGSPORT, TN 37660 (423) 224-3900 |
1518031442 | WILLIAM J STEPTOE MD Individual | Internal Medicine | 2204 PAVILION DR SUITE 310 KINGSPORT, TN 37660 (423) 224-3900 |
1720468200 | MOUNTAIN STATES HEALTH ALLIANCE Organization | General Acute Care Hospital | 2204 PAVILION DR SUITE 115 KINGSPORT, TN 37660 (423) 857-6777 |
1730401209 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION Organization | Family Medicine | 2204 PAVILION DR SUITE 310 KINGSPORT, TN 37660 (423) 224-3900 |
1306807979 | KELLY G MCQUEEN DO Individual | Family Medicine | 2204 PAVILION DR SUITE 310 KINGSPORT, TN 37660 (423) 224-3900 |
1073638722 | MS. JOANNE RICE CRNA Individual | Nurse Anesthetist, Certified Registered | 2204 PAVILION DR SUITE 105 KINGSPORT, TN 37660 (423) 392-6100 |
1619265550 | TENNESSEE ANESTHESIOLOGY LLC Organization | Nurse Anesthetist, Certified Registered | 2204 PAVILION DR SUITE 105 KINGSPORT, TN 37660 (423) 392-0344 |
1568703437 | LAUREN SULLIVAN PHARMD Individual | Pharmacist | 2204 PAVILION DR SUITE 105 KINGSPORT, TN 37660 (423) 392-6109 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245226737, enumerated in the NPI registry as an "individual" on September 21, 2005
The provider is located at 2204 Pavilion Dr Suite 108 Kingsport, Tn 37660 and the phone number is (423) 392-6100
The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, New patient office or other outpatient visit, 30-44 minutes and New patient office or other outpatient visit, 45-59 minutes.
This NPI record was last updated on September 21, 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].
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