THERESA NEWBERRY
NPI 1679683601
Advanced Practice Midwife in Portage, MI
NPI Status: Active since August 31, 2006
- Individual
- Female
- Advanced Practice Midwife
- PECOS Enrolled
About THERESA NEWBERRY
This page provides the complete NPI Profile along with additional information for Theresa Newberry, a provider established in Portage, Michigan with a medical specialization in Advanced Practice Midwife. The healthcare provider is registered in the NPI registry with number 1679683601 assigned on August 2006. The practitioner's primary taxonomy code is 367A00000X with license number 4704112553 (MI). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1679683601
- Provider Name
- THERESA NEWBERRY
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 7895 CURRIER DR PORTAGE, MI 49002
- Location Phone
- (269) 321-7080
- Mailing Address
- 5943 STADIUM DR SUITE 3 KALAMAZOO, MI 49009
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-31-2006
- Last Update Date
- 07-08-2007
- Code Navigator
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
Advanced Practice Midwife
- Taxonomy Code
- 367A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 4704112553
- License State
- MI
- Taxonomy Description
- Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
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.
*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 |
|---|---|---|---|
| S87535 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Theresa Newberry 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 and Durable Medical Equipment (DME).
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): No
Eligible to Order or Refer Power Mobility Devices: No
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 49002 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.74
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.68
- Average New Patient Copayment $21.18
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.67
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.07
- Minimum Established Patient Price $17.09
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $17.01
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* 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 THERESA NEWBERRY
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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 | 7 | 9 | 6 | 8 | 3 | 6 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 14 | 9 | 12 | 8 | 6 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 4 + 9 + 1 + 2 + 8 + 6 + 6 + 0 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1679683601 is valid because the calculated check digit 1 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 |
|---|---|---|---|
| 1528025400 | ANN E. CRABB PHD Individual | Counselor (Professional) | 7895 CURRIER DR PORTAGE, MI 49002 (269) 321-7034 |
| 1942249925 | JANICE WERBINSKI MD Individual | Obstetrics & Gynecology | 7895 CURRIER DR PORTAGE, MI 49002 (269) 321-7080 |
| 1831133966 | GEORGE G BRUZZA JR. MD Individual | Obstetrics & Gynecology | 7895 CURRIER DR PORTAGE, MI 49002 (269) 321-7080 |
| 1659317071 | JOHN L BRADTKE MD Individual | Internal Medicine | 7895 CURRIER DR PORTAGE, MI 49002 (269) 321-7120 |
| 1518075829 | SCOTT PIERESON Individual | Obstetrics & Gynecology | 7895 CURRIER DR PORTAGE, MI 49002 (269) 321-7080 |
| 1467535575 | JOYCE ROSS Individual | Dietitian, Registered | 7895 CURRIER DR PORTAGE, MI 49002 (269) 321-7120 |
| 1821171554 | CHERYL TENENBAUM Individual | Dietitian, Registered | 7895 CURRIER DR PORTAGE, MI 49002 (269) 226-8321 |
| 1932306016 | KAREN A SPAUDE Individual | Dietitian, Registered | 7895 CURRIER DR PORTAGE, MI 49002 (269) 321-7120 |
| 1437352689 | DR. NIAZ MOHAMMAD MD Individual | Psychiatry & Neurology (Psychiatry) | 7895 CURRIER DR PORTAGE, MI 49002 (269) 321-7090 |
| 1285736371 | KIRSTEN M JOHANTGEN MD Individual | Obstetrics & Gynecology | 7895 CURRIER DR PORTAGE, MI 49002 (269) 321-7080 |
| 1629136429 | PROMED HEALTHCARE Organization | Durable Medical Equipment & Medical Supplies | 7895 CURRIER DR PORTAGE, MI 49002 (269) 321-7120 |
| 1073603791 | DR. DEBORAH ESTEVES M.D. Individual | Internal Medicine | 7895 CURRIER DR PORTAGE, MI 49002 (269) 324-8670 |
| 1851951750 | MEGAN HARRIS Individual | Behavior Analyst | 7895 CURRIER DR PORTAGE, MI 49002 (844) 263-1613 |
| 1538459813 | DR. AMBER RACHELLE NASH-GUILFORD D.O. Individual | Obstetrics & Gynecology | 7895 CURRIER DR PORTAGE, MI 49002 (269) 321-7080 |
| 1841483567 | NISHANI DAYANTHI SAMARAWEERA PHD Individual | Psychologist (Clinical) | 7895 CURRIER DR PORTAGE, MI 49002 (269) 321-7090 |
| 1568227403 | MACKENZIE BUCK Individual | Behavior Technician | 7895 CURRIER DR PORTAGE, MI 49002 (844) 263-1613 |
| 1023668076 | MELISSA PORTIA FULLER LPC Individual | Counselor (Professional) | 7895 CURRIER DR PORTAGE, MI 49002 (269) 910-7327 |
| 1063279958 | CHRISTIAN MARTINEZ Individual | Behavior Technician | 7895 CURRIER DR PORTAGE, MI 49002 (844) 263-1613 |
| 1245098227 | MADISON JO SMITH Individual | Behavior Technician | 7895 CURRIER DR PORTAGE, MI 49002 (844) 263-1613 |
| 1518725589 | MEGAN SCHIRR Individual | Behavior Technician | 7895 CURRIER DR PORTAGE, MI 49002 (844) 263-1613 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679683601, enumerated in the NPI registry as an "individual" on August 31, 2006
The provider is located at 7895 Currier Dr Portage, Mi 49002 and the phone number is (269) 321-7080
The provider's speciality is Advanced Practice Midwife with taxonomy code 367A00000X
The provider might be accepting Accepts: Medicare and Medicaid. 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 and Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $84.74 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $68.07 and an average copayment of 17.01. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 31, 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].
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