SOCKVIECHHEA THOU NP
NPI 1538760186
Nurse Practitioner - Adult Health in Winchester, MA
NPI Status: Active since November 02, 2020
Contact Information
41 HIGHLAND AVE
WINCHESTER, MA
ZIP 01890
Phone: (781) 756-7095
- Individual
- Female
- Nurse Practitioner
- Adult Health
- Accepts Insurance
- PECOS Enrolled
About SOCKVIECHHEA THOU
This page provides the complete NPI Profile along with additional information for Sockviechhea Thou, a provider established in Winchester, Massachusetts with a medical specialization in Nurse Practitioner, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1538760186 assigned on November 2020. The practitioner's primary taxonomy code is 363LA2200X with license number RN2287624 (MA). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1538760186
- Provider Name
- SOCKVIECHHEA THOU NP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 41 HIGHLAND AVE WINCHESTER, MA 01890
- Location Phone
- (781) 756-7095
- Mailing Address
- 80 ROGERS ST UNIT 401 LOWELL, MA 01852
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-02-2020
- Last Update Date
- 06-15-2021
- Code Navigator
A nurse practitioner (NP) like Sockviechhea Thou 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 Adult Health
- Taxonomy Code
- 363LA2200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- RN2287624
- License State
- MA
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) |
|---|---|---|---|---|
| 1 | 163W00000X | Nursing Service Providers | Registered Nurse | RN2287624 (MA) |
| 2 | 363LG0600X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | RN2287624 (MA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Sockviechhea Thou 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
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 01890 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $97.64
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $24.41
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111.18
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $27.79
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* 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.
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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 | 5 | 3 | 8 | 7 | 6 | 0 | 1 | 8 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 14 | 6 | 0 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 1 + 4 + 6 + 0 + 1 + 1 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1538760186 is valid because the calculated check digit 6 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 |
|---|---|---|---|
| 1982693594 | DR. ROBIN E KIRBY M.D. Individual | Pathology (Cytopathology) | 41 HIGHLAND AVE WINCHESTER HOSPITAL WINCHESTER, MA 01890 (781) 756-2319 |
| 1255320925 | DR. ALDO GONZALEZ-SERVA M.D. Individual | Pathology (Dermatopathology) | 41 HIGHLAND AVE WINCHESTER HOSPITAL WINCHESTER, MA 01890 (781) 756-2319 |
| 1538141122 | WINCHESTER PHYSICIAN ASSOCIATES Organization | Internal Medicine | 41 HIGHLAND AVE 4TH FLOOR WINCHESTER, MA 01890 (781) 756-7095 |
| 1194703306 | DR. THOMAS JOHN MULVANEY M.D. Individual | Otolaryngology | 41 HIGHLAND AVE WINCHESTER HOSPITAL WINCHESTER, MA 01890 (781) 756-4776 |
| 1790753671 | DR. RICHARD I WEINER M.D. Individual | Surgery | 41 HIGHLAND AVE WINCHESTER, MA 01890 (781) 756-2223 |
| 1780652065 | KAREN ANN BEATON MD Individual | Anesthesiology | 41 HIGHLAND AVE WINCHESTER HOSPITAL WINCHESTER, MA 01890 (781) 756-7243 |
| 1255390969 | MR. BRIAN D. CAMPBELL CRNA Individual | Nurse Anesthetist, Certified Registered | 41 HIGHLAND AVE WINCHESTER, MA 01890 (781) 756-2012 |
| 1578527230 | WILLIAM KENYON M.D. Individual | Internal Medicine | 41 HIGHLAND AVE WINCHESTER HOSPITAL INPATIENT SPECIALIST OFFICE WINCHESTER, MA 01890 (781) 756-7095 |
| 1790740777 | WINCHESTER HOSPITAL Organization | General Acute Care Hospital | 41 HIGHLAND AVE WINCHESTER, MA 01890 (781) 756-2415 |
| 1689631186 | DILIP H PATEL MD Individual | Anesthesiology | 41 HIGHLAND AVE WINCHESTER HOSPITAL WINCHESTER, MA 01890 (781) 756-7243 |
| 1225096175 | DR. LORRAINE JULIA FOLEY MD Individual | Anesthesiology | 41 HIGHLAND AVE WINCHESTER, MA 01890 (781) 756-7243 |
| 1285685297 | DR. DANA I. ZITKOVSKY M.D. Individual | Emergency Medicine | 41 HIGHLAND AVE WINCHESTER HOSPITAL EMERGENCY DEPARTMENT WINCHESTER, MA 01890 (781) 756-2000 |
| 1952346710 | MARISA KEARNEY M.D. Individual | Emergency Medicine | 41 HIGHLAND AVE WINCHESTER, MA 01890 (781) 756-7273 |
| 1962447078 | DONALD AMIRALIAN M.D. Individual | Emergency Medicine | 41 HIGHLAND AVE WINCHESTER, MA 01890 (781) 756-7273 |
| 1306873716 | BRIAN CRUZ M.D. Individual | Emergency Medicine | 41 HIGHLAND AVE WINCHESTER, MA 01890 (781) 756-7273 |
| 1922033000 | JOHN J HUTCHESON M.D. Individual | Anesthesiology (Pain Medicine) | 41 HIGHLAND AVE WINCHESTER, MA 01890 (781) 756-7243 |
| 1427075951 | SHAHROUZ HEKMATPOUR M.D. Individual | Emergency Medicine | 41 HIGHLAND AVE WINCHESTER, MA 01890 (781) 729-2000 |
| 1659392082 | GREGORY WEISZ M.D. Individual | Emergency Medicine | 41 HIGHLAND AVE WINCHESTER, MA 01890 (781) 729-2000 |
| 1699796037 | EDWIN HERNANDEZ M.D. Individual | Emergency Medicine | 41 HIGHLAND AVE WINCHESTER, MA 01890 (781) 729-2000 |
| 1700807153 | DR. THOMAS SALVATORE GUERRIERO PHARM D Individual | Pharmacist (Pharmacotherapy) | 41 HIGHLAND AVE WINCHESTER HOSPITAL WINCHESTER, MA 01890 (781) 756-2630 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538760186, enumerated in the NPI registry as an "individual" on November 02, 2020
The provider is located at 41 Highland Ave Winchester, Ma 01890 and the phone number is (781) 756-7095
The provider's speciality is Nurse Practitioner with taxonomy code 363LA2200X with a focus in Adult Health
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 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 $97.64 with an average copayment of $24.41 for new patient appointments. Established patients should expect a typical charge of $111.18 and an average copayment of 27.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on November 02, 2020. 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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