SUMMER BARNUM
NPI 1689345480
Nurse Practitioner - Family in Covington, LA
NPI Status: Active since September 22, 2021
Contact Information
95 JUDGE TANNER BLVD
COVINGTON, LA
ZIP 70433
Phone: (985) 867-3800
- Individual
- Female
- Nurse Practitioner
- Family
- Accepts Insurance
- PECOS Enrolled
About SUMMER BARNUM
This page provides the complete NPI Profile along with additional information for Summer Barnum, a provider established in Covington, Louisiana with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1689345480 assigned on September 2021. The practitioner's primary taxonomy code is 363LF0000X with license number 221836 (LA). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1689345480
- Provider Name
- SUMMER BARNUM
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 95 JUDGE TANNER BLVD COVINGTON, LA 70433
- Location Phone
- (985) 867-3800
- Mailing Address
- 31880 CARTER CEMETERY RD SPRINGFIELD, LA 70462
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-22-2021
- Last Update Date
- 09-22-2021
- Code Navigator
A nurse practitioner (NP) like Summer Barnum 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 Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 221836
- License State
- LA
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 (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Blue Max 70/50 $6700 - PPO
- Blue Max 90/70 $1500 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3200 - PPO
- 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
- Signature Blue 80/60 $3200 - POS
- Signature Blue Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
- Signature Blue Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Summer Barnum 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
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up hospital inpatient care per day, typically 15 minutes
Follow-up hospital inpatient care per day, typically 25 minutes
Follow-up hospital inpatient care per day, typically 35 minutes
Hospital discharge day management, more than 30 minutes
Initial hospital inpatient care per day, typically 50 minutes
Initial hospital inpatient care per day, typically 70 minutes
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
This service was performed 30 times for 20 patientsFollow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 227 times for 145 patientsFollow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 18 times for 15 patientsHospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
This service was performed 87 times for 84 patientsInitial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
This service was performed 20 times for 20 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 16 times for 16 patientsPhysician 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 70433 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.6
- Minimum New Patient Price $53.43
- Maximum New Patient Price $164.73
- Average New Patient Copayment $20.9
- 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 99214
- Average Established Patient Price $95.09
- Minimum Established Patient Price $16.64
- Maximum Established Patient Price $133.62
- Average Established Patient Copayment $23.77
- 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.
Reviews for SUMMER BARNUM
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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 | 8 | 9 | 3 | 4 | 5 | 4 | 8 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 16 | 9 | 6 | 4 | 10 | 4 | 16 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 1 + 6 + 9 + 6 + 4 + 1 + 0 + 4 + 1 + 6 + 24 = 70 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1689345480 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 |
---|---|---|---|
1396898995 | DR. KIM SUTKER KAYE M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 95 JUDGE TANNER BLVD COVINGTON, LA 70433 (985) 867-4046 |
1891798328 | STEVEN F PFLUG M.D. Individual | Radiology (Diagnostic Radiology) | 95 JUDGE TANNER BLVD COVINGTON, LA 70433 (985) 867-4050 |
1528061058 | MICHAEL D HALL M.D. Individual | Radiology (Diagnostic Radiology) | 95 JUDGE TANNER BLVD COVINGTON, LA 70433 (985) 867-4050 |
1760734685 | PONTCHARTRAIN DIAGNOSTIC IMAGING LLC Organization | Radiology (Diagnostic Radiology) | 95 JUDGE TANNER BLVD COVINGTON, LA 70433 (985) 867-4050 |
1295772259 | LAKEVIEW MEDICAL CENTER, LLC Organization | General Acute Care Hospital | 95 JUDGE TANNER BLVD COVINGTON, LA 70433 (985) 867-3800 |
1063413045 | DR. CHARLES DAVID MUNTAN MD Individual | Emergency Medicine | 95 JUDGE TANNER BLVD COVINGTON, LA 70433 (985) 867-4000 |
1851790729 | MR. LANDON K WHITWORTH FNP-C Individual | Nurse Practitioner (Family) | 95 JUDGE TANNER BLVD COVINGTON, LA 70433 (985) 867-3800 |
1568843886 | MR. MARK JOSEPH GAGNARD FNP Individual | General Acute Care Hospital | 95 JUDGE TANNER BLVD COVINGTON, LA 70433 (985) 867-4000 |
1730546441 | JEAN GUILLORY CRNA Individual | Nurse Anesthetist, Certified Registered | 95 JUDGE TANNER BLVD COVINGTON, LA 70433 (985) 867-3810 |
1699121947 | MRS. KATHLEEN GIBEAU HEKMATDOOST APRN, NNP Individual | Nurse Practitioner (Neonatal, Critical Care) | 95 JUDGE TANNER BLVD COVINGTON, LA 70433 (985) 867-4360 |
1467808485 | JULIE M BROUSSARD NNP Individual | Nurse Practitioner (Neonatal) | 95 JUDGE TANNER BLVD NICU COVINGTON, LA 70433 (985) 867-4361 |
1194962589 | ANN VORHABEN MD Individual | Emergency Medicine | 95 JUDGE TANNER BLVD COVINGTON, LA 70433 (985) 867-4000 |
1114421112 | ASHLEY MARTIN MOSSBARGER APRN, FNP-C Individual | Nurse Practitioner (Family) | 95 JUDGE TANNER BLVD COVINGTON, LA 70433 (985) 867-8585 |
1598024986 | DR. JORDAN ANDREW ROBERTS M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 95 JUDGE TANNER BLVD COVINGTON, LA 70433 (985) 867-4046 |
1205290640 | JOSHUA FAY Individual | Nurse Anesthetist, Certified Registered | 95 JUDGE TANNER BLVD COVINGTON, LA 70433 (540) 761-7371 |
1467831180 | NORTHSHORE SURGICAL SPECIALISTS LLC Organization | Surgery | 95 JUDGE TANNER BLVD COVINGTON, LA 70433 (469) 401-2386 |
1972195881 | FELICIA ANN BAHAM NNP Individual | Nurse Practitioner (Neonatal, Critical Care) | 95 JUDGE TANNER BLVD COVINGTON, LA 70433 (985) 867-3800 |
1700297272 | ORIOLE ACUTE TRAUMA LLC Organization | Surgery | 95 JUDGE TANNER BLVD COVINGTON, LA 70433 (973) 251-1132 |
1669094397 | JACOB HUNTER PHILLIPS AGACNP-BC Individual | Nurse Practitioner (Acute Care) | 95 JUDGE TANNER BLVD COVINGTON, LA 70433 (985) 867-3800 |
1154048866 | MEDICAL MANAGERS Organization | Internal Medicine | 95 JUDGE TANNER BLVD COVINGTON, LA 70433 (985) 869-7838 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689345480, enumerated in the NPI registry as an "individual" on September 22, 2021
The provider is located at 95 Judge Tanner Blvd Covington, La 70433 and the phone number is (985) 867-3800
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. 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 $83.6 with an average copayment of $20.9 for new patient appointments. Established patients should expect a typical charge of $95.09 and an average copayment of 23.77. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Follow-up hospital inpatient care per day, typically 15 minutes, Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up hospital inpatient care per day, typically 35 minutes, Hospital discharge day management, more than 30 minutes, Initial hospital inpatient care per day, typically 50 minutes and Initial hospital inpatient care per day, typically 70 minutes.
This NPI record was last updated on September 22, 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].
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