MRS. VIRGINIA MCHALE
NPI 1649653270
Nurse Practitioner - Adult Health in Commack, NY
NPI Status: Active since July 01, 2015
Contact Information
6080 JERICHO TPKE
SUITE 314
COMMACK, NY
ZIP 11725
Phone: (631) 462-2200
- Individual
- Female
- Nurse Practitioner
- Adult Health
- PECOS Enrolled
- Medicare Quality Reporting
About VIRGINIA MCHALE
This page provides the complete NPI Profile along with additional information for Virginia Mchale, a provider established in Commack, New York with a medical specialization in Nurse Practitioner, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1649653270 assigned on July 2015. The practitioner's primary taxonomy code is 363LA2200X with license number F307329-1 (NY). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1649653270
- Provider Name
- MRS. VIRGINIA MCHALE
- Other Name
- VIRGINIA NICHOLES
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6080 JERICHO TPKE SUITE 314 COMMACK, NY 11725
- Location Phone
- (631) 462-2200
- Mailing Address
- 6080 JERICHO TPKE SUITE 314 COMMACK, NY 11725
- Mailing Phone
- (631) 462-2200
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-01-2015
- Last Update Date
- 08-24-2017
- Code Navigator
A nurse practitioner (NP) like Virginia Mchale 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.
- F307329-1
- License State
- NY
Medicare Participation & PECOS Enrollment Status
Virginia Mchale 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
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
23 DME suppliers used 53 Medicare Claims 171 Services Paid
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 11725 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $105.06
- Minimum New Patient Price $67.4
- Maximum New Patient Price $203.53
- Average New Patient Copayment $26.26
- Minimum New Patient Copayment $16.85
- Maximum New Patient Copayment $50.88
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $117.62
- Minimum Established Patient Price $21.66
- Maximum Established Patient Price $164.45
- Average Established Patient Copayment $29.4
- Minimum Established Patient Copayment $5.41
- Maximum Established Patient Copayment $41.11
* 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.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| e-Prescribing | 99% | 4843 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
Reviews for MRS. VIRGINIA MCHALE
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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 | 6 | 4 | 9 | 6 | 5 | 3 | 2 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 12 | 5 | 6 | 2 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 1 + 2 + 5 + 6 + 2 + 1 + 4 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1649653270 is valid because the calculated check digit 0 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 |
|---|---|---|---|
| 1346239738 | DR. MITCHELL ROBERT EZRIN D.C. Individual | Chiropractor | 6080 JERICHO TPKE SUITE 206 COMMACK, NY 11725 (631) 499-2212 |
| 1386623338 | DR. RICHARD W GOTLIB MD Individual | Specialist | 6080 JERICHO TPKE STE 102 COMMACK, NY 11725 (631) 486-4742 |
| 1528009289 | DR. NOREEN FLORENCE GIORDANO DNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 6080 JERICHO TPKE SUITE 310 COMMACK, NY 11725 (631) 466-6211 |
| 1548288301 | BRIAN M BALDWIN LCSW Individual | Social Worker (Clinical) | 6080 JERICHO TPKE SUITE 310 COMMACK, NY 11725 (516) 671-9535 |
| 1689693996 | MR. JOHN A CARERI MSW Individual | Social Worker (Clinical) | 6080 JERICHO TPKE COMMACK, NY 11725 (516) 503-7426 |
| 1649284837 | DR. GEORGE KOROLOGOS D.D.S. Individual | Dentist (General Practice) | 6080 JERICHO TPKE SUITE 207 COMMACK, NY 11725 (631) 499-1212 |
| 1619293958 | DR. TAE YON KIM D.D.S. Individual | Dentist | 6080 JERICHO TPKE SUITE 207 COMMACK, NY 11725 (631) 499-1212 |
| 1669791117 | ACCESS 7 CONSULTING Organization | Occupational Therapist | 6080 JERICHO TPKE SUITE 200 COMMACK, NY 11725 (631) 864-7770 |
| 1356635874 | ACCESS 7 SERVICES INC. Organization | Case Management | 6080 JERICHO TPKE SUITE 200 COMMACK, NY 11725 (631) 864-7770 |
| 1376839613 | ACCESS7 SERVICES Organization | Behavior Analyst | 6080 JERICHO TPKE COMMACK, NY 11725 (631) 864-7770 |
| 1831460674 | DIANE MARLENE BESNACI BS Individual | Occupational Therapy Assistant | 6080 JERICHO TPKE SUITE 200 COMMACK, NY 11725 (631) 368-7770 |
| 1326310913 | ARTISTIC DENTAL ASSOCIATES OF COMMACK LLP Organization | Dentist (General Practice) | 6080 JERICHO TPKE SUITE 207 COMMACK, NY 11725 (631) 499-1212 |
| 1225058969 | EDWARD M CONDON MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 6080 JERICHO TPKE SUITE 314 COMMACK, NY 11725 (631) 462-2200 |
| 1932264728 | SB PSYCHIATRIC SERVICES PLLC Organization | Psychiatry & Neurology (Psychiatry) | 6080 JERICHO TPKE SUITE 312 COMMACK, NY 11725 (631) 499-4490 |
| 1356497713 | DR. BOB KALANI M.D Individual | Psychiatry & Neurology (Psychiatry) | 6080 JERICHO TPKE SUITE 312 COMMACK, NY 11725 (631) 499-4490 |
| 1427495068 | BRIAN BEZACK DO PLLC Organization | Pediatrics (Pediatric Pulmonology) | 6080 JERICHO TPKE SUITE 318 COMMACK, NY 11725 (631) 499-1298 |
| 1811174519 | EDWARD CONDON MEDICAL PC Organization | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 6080 JERICHO TPKE SUITE 314 COMMACK, NY 11725 (631) 462-2200 |
| 1811131485 | DR. DAVID ROBERT ACKERMAN D.C. Individual | Chiropractor | 6080 JERICHO TPKE SUITE 305 COMMACK, NY 11725 (631) 499-6180 |
| 1235540147 | DR. DAVID ACKERMAN DC PC Organization | Chiropractor | 6080 JERICHO TPKE SUITE 305 COMMACK, NY 11725 (631) 379-0904 |
| 1063810752 | JULIE HAUSSMANN LMSW Individual | Social Worker | 6080 JERICHO TPKE COMMACK, NY 11725 (631) 864-7770 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649653270, enumerated in the NPI registry as an "individual" on July 01, 2015
The provider is located at 6080 Jericho Tpke Suite 314 Commack, Ny 11725 and the phone number is (631) 462-2200
The provider's speciality is Nurse Practitioner with taxonomy code 363LA2200X with a focus in Adult Health
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 $105.06 with an average copayment of $26.26 for new patient appointments. Established patients should expect a typical charge of $117.62 and an average copayment of 29.4. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 01, 2015. 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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