MARGARET HENSLEY RD
NPI 1255005732
Dietitian, Registered in Glendale, AZ

NPI Status: Active since August 06, 2021

Contact Information

8763 W AUGUSTA AVE
GLENDALE, AZ
ZIP 85305
Phone: (623) 570-5711

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  • Individual
  • Female
  • Years of Experience 9
  • Dietitian, Registered
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About MARGARET HENSLEY

This page provides the complete NPI Profile along with additional information for Margaret Hensley, a provider established in Glendale, Arizona with a medical specialization in Dietitian, Registered and more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1255005732 assigned on August 2021. The practitioner's primary taxonomy code is 133V00000X. The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1255005732
Provider Name
MARGARET HENSLEY RD
Gender
Female
Entity Type
Individual
Location Address
8763 W AUGUSTA AVE GLENDALE, AZ 85305
Location Phone
(623) 570-5711
Mailing Address
8763 W AUGUSTA AVE GLENDALE, AZ 85305
Mailing Phone
(623) 570-6711
Medical School Name
OTHER
Graduation Year
2017
Is Sole Proprietor?
No
Enumeration Date
08-06-2021
Last Update Date
08-06-2021
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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

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
Taxonomy Description
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Insurance Plans Accepted

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

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • BannerAetna Bronze 2 HSA: No PCP required + 98point6 virtual care 24/7 - HMO
  • BannerAetna Bronze 4: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Bronze 4: No PCP required + $0 PCP + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Bronze S: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 10: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Gold 10: No PCP required + $0 PCP + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 3: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 3: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Gold S: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver 10: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental +Vision - HMO
  • BannerAetna Silver 4: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver 4: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Silver 5: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver S: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver S: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO
  • Blue ACA StandardHealth Silver with Health Choice - HMO
  • Blue AdvanceHealth Bronze - Neighborhood Network - HMO
  • Blue AdvanceHealth Gold - Neighborhood Network - HMO
  • Blue AdvanceHealth Silver - Neighborhood Network - HMO
  • Blue EverydayHealth Gold - Neighborhood Network - HMO
  • Blue EverydayHealth Silver - Neighborhood Network - HMO
  • Blue Portfolio HSA Bronze - Neighborhood Network - HMO
  • Blue Portfolio HSA Gold - Statewide PPO Network - PPO
  • Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
  • Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
  • Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
  • Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
  • Blue StandardHealth Bronze - Neighborhood Network - HMO
  • Blue StandardHealth Gold - Neighborhood Network - HMO
  • Blue StandardHealth Silver - Neighborhood Network - HMO
  • Bronze Classic 4700 - HMO
  • Bronze Classic Standard - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Gold Classic - HMO
  • Gold Classic Standard - HMO
  • Secure - HMO
  • Silver Classic Standard - HMO
  • Silver Elite Saver Plus - HMO
  • Silver Simple Chronic Care CKM - HMO
  • Silver Simple PCP Saver - HMO
  • Silver Simple Specialist Saver with COPD - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Value ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision) - 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 Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Standard - 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 Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Silver Standard - HMO

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

Medicare Participation & PECOS Enrollment Status

Margaret Hensley 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.

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.

  • PECOS PAC ID: 9032517842

    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: I20211008001274

    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.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $0 for a new patient copayment and $24.5 for an established patient copayment.

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 85305 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $0
  • Minimum New Patient Price $55.44
  • Maximum New Patient Price $168.6
  • Average New Patient Copayment $0
  • Minimum New Patient Copayment $13.86
  • Maximum New Patient Copayment $42.15

Established Patients Visit Costs *

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

  • Average Established Patient Price $98
  • Minimum Established Patient Price $17.72
  • Maximum Established Patient Price $137.41
  • Average Established Patient Copayment $24.5
  • Minimum Established Patient Copayment $4.43
  • Maximum Established Patient Copayment $34.35

* 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.

Reviews for MARGARET HENSLEY RD

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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.
1255005732
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105001076
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 0 + 0 + 1 + 0 + 7 + 6 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1255005732 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 1255005732, enumerated in the NPI registry as an "individual" on August 06, 2021

The provider is located at 8763 W Augusta Ave Glendale, Az 85305 and the phone number is (623) 570-5711

The provider's speciality is Dietitian, Registered with taxonomy code 133V00000X

The provider has more than 9 years of experience.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $98 and an average copayment of 24.5. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on August 06, 2021. 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.