JOHN ENOCH VINCENT CRNA
NPI 1679844088
Nurse Anesthetist, Certified Registered in Baton Rouge, LA

NPI Status: Active since January 17, 2012

Contact Information

8212 SUMMA AVE
BATON ROUGE, LA
ZIP 70809
Phone: (225) 769-4403
Fax: (225) 769-3842

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  • Individual
  • Male
  • Years of Experience 15
  • Nurse Anesthetist, Certified Registered
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About JOHN VINCENT

This page provides the complete NPI Profile along with additional information for John Vincent, a provider established in Baton Rouge, Louisiana with a medical specialization in Nurse Anesthetist, Certified Registered and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1679844088 assigned on January 2012. The practitioner's primary taxonomy code is 367500000X with license number TAP002736 (LA). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1679844088
Provider Name
JOHN ENOCH VINCENT CRNA
Gender
Male
Entity Type
Individual
Location Address
8212 SUMMA AVE BATON ROUGE, LA 70809
Location Phone
(225) 769-4403
Location Fax
(225) 769-3842
Mailing Address
100 WOMANS WAY BATON ROUGE, LA 70817
Mailing Phone
(225) 924-8149
Mailing Fax
(225) 769-3842
Medical School Name
OTHER
Graduation Year
2011
Is Sole Proprietor?
Yes
Enumeration Date
01-17-2012
Last Update Date
06-15-2017
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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

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
TAP002736
License State
LA
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Insurance Plans Accepted

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

  • Blue Connect 80/60 $3200 (L) - POS
  • Blue Connect 80/60 $3200 (N) - POS
  • Blue Connect 80/60 $3200 (S) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (L) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (N) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (S) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (L) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (N) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (S) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (L) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (N) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (S) - POS
  • Blue POS 60/40 $6500 - POS
  • Blue POS 70/50 $4550 - POS
  • Blue POS 80/60 $3200 - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 80/60 $1000 - POS
  • Community Blue 80/60 $3200 - POS

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

Medicare Participation & PECOS Enrollment Status

John Vincent 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: 1759540032

    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: I20120306000334

    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: $31.15 for a new patient copayment and $16.76 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 70809 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $124.6
  • Minimum New Patient Price $53.43
  • Maximum New Patient Price $164.73
  • Average New Patient Copayment $31.15
  • Minimum New Patient Copayment $13.35
  • Maximum New Patient Copayment $41.18

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.06
  • Minimum Established Patient Price $16.64
  • Maximum Established Patient Price $133.62
  • Average Established Patient Copayment $16.76
  • Minimum Established Patient Copayment $4.16
  • Maximum Established Patient Copayment $33.4

* 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.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. John Vincent is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
OCHSNER MEDICAL CENTER - BATON ROUGE17000 MEDICAL CENTER DR
BATON ROUGE, LA 70816
(225) 752-2470Acute Care Hospitals

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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.
1679844088
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261491648016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 1 + 6 + 4 + 8 + 0 + 1 + 6 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1679844088 is valid because the calculated check digit 8 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
1588651467DR. JAMES L. SHARPLESS JR. MD
Individual
Anesthesiology8212 SUMMA AVE
BATON ROUGE, LA 70809
(225) 769-4403
1255399598ANESTHESIOLOGY GROUP ASSOCIATES INC
Organization
Specialist8212 SUMMA AVE
BATON ROUGE, LA 70809
(225) 769-4403
1780770461MR. MATTHEW J GAUTREAU CRNA
Individual
Nurse Anesthetist, Certified Registered8212 SUMMA AVE
BATON ROUGE, LA 70809
(225) 769-4403
1689720971MR. GERALD PATRICK O'BRIEN CRNA
Individual
Nurse Anesthetist, Certified Registered8212 SUMMA AVE
BATON ROUGE, LA 70809
(225) 769-4403
1417099094DR. KEVIN J ANDERSON MD
Individual
Anesthesiology8212 SUMMA AVE
BATON ROUGE, LA 70809
(225) 769-4403
1124160700 KIRK M BAILEY MD
Individual
Anesthesiology8212 SUMMA AVE
BATON ROUGE, LA 70809
(225) 769-4403
1265574859 JOHN GAR CARTER MD
Individual
Anesthesiology8212 SUMMA AVE
BATON ROUGE, LA 70809
(225) 769-4403
1457495665 ERIC D CHAPMAN MD
Individual
Anesthesiology8212 SUMMA AVE
BATON ROUGE, LA 70809
(225) 769-4403
1316081532 NORMAN C RITCHIE JR. MD
Individual
Anesthesiology8212 SUMMA AVE
BATON ROUGE, LA 70809
(225) 769-4403
1497899611 CYNTHIA F SCHWARTZENBURG MD
Individual
Anesthesiology8212 SUMMA AVE
BATON ROUGE, LA 70809
(225) 769-4403
1316082738 MARSHALL H SOMMERS MD
Individual
Anesthesiology8212 SUMMA AVE
BATON ROUGE, LA 70809
(225) 769-4403
1467583104 JULIE CEFALU CRNA
Individual
Nurse Anesthetist, Certified Registered8212 SUMMA AVE
BATON ROUGE, LA 70809
(225) 769-4403
1750412417 STEELA Y ESCURIEX CRNA
Individual
Nurse Anesthetist, Certified Registered8212 SUMMA AVE
BATON ROUGE, LA 70809
(225) 769-4403
1932230687 PAMELIA L DEROZAN CRNA
Individual
Nurse Anesthetist, Certified Registered8212 SUMMA AVE
BATON ROUGE, LA 70809
(225) 769-4403
1871624205 CHARLES F SEGURA JR. CRNA
Individual
Nurse Anesthetist, Certified Registered8212 SUMMA AVE
BATON ROUGE, LA 70809
(225) 769-4403
1598896821 CRAIG S HENDERSON CRNA
Individual
Nurse Anesthetist, Certified Registered8212 SUMMA AVE
BATON ROUGE, LA 70809
(225) 769-4403
1073644480 TERESA T RICHMOND CRNA
Individual
Nurse Anesthetist, Certified Registered8212 SUMMA AVE
BATON ROUGE, LA 70809
(225) 769-4403
1578694972 WILLIAM C PREJEAN CRNA
Individual
Nurse Anesthetist, Certified Registered8212 SUMMA AVE
BATON ROUGE, LA 70809
(225) 769-4403
1851422265 RANDALL G RICHMOND CRNA
Individual
Nurse Anesthetist, Certified Registered8212 SUMMA AVE
BATON ROUGE, LA 70809
(225) 769-4403
1902937899 WILLIAM E SIMS CRNA
Individual
Nurse Anesthetist, Certified Registered8212 SUMMA AVE
BATON ROUGE, LA 70809
(225) 769-4403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679844088, enumerated in the NPI registry as an "individual" on January 17, 2012

The provider is located at 8212 Summa Ave Baton Rouge, La 70809 and the phone number is (225) 769-4403

The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

The provider has more than 15 years of experience.

The provider might be accepting Accepts: HMO Louisiana. 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 $124.6 with an average copayment of $31.15 for new patient appointments. Established patients should expect a typical charge of $67.06 and an average copayment of 16.76. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): OCHSNER MEDICAL CENTER - BATON ROUGE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on January 17, 2012. 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.