MRS. JULIE ANN SHERMAN CRNA
NPI 1750688867
Nurse Anesthetist, Certified Registered in Luverne, MN
NPI Status: Active since February 25, 2011
- Individual
- Female
- Years of Experience 15
- Nurse Anesthetist, Certified Registered
- Accepts Insurance
- Accepts Medicare Approved Payment
About JULIE SHERMAN
This page provides the complete NPI Profile along with additional information for Julie Sherman, a provider established in Luverne, Minnesota 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 1750688867 assigned on February 2011. The practitioner's primary taxonomy code is 367500000X with license number R172509-6 (MN). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1750688867
- Provider Name
- MRS. JULIE ANN SHERMAN CRNA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1600 N KNISS AVE LUVERNE, MN 56156
- Location Phone
- (507) 283-2321
- Mailing Address
- PO BOX 5074 SIOUX FALLS, SD 57117
- Medical School Name
- OTHER
- Graduation Year
- 2011
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-25-2011
- Last Update Date
- 10-30-2020
- 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
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- R172509-6
- License State
- MN
- 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:
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - EPO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - EPO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - EPO
- Medica Individual Choice Silver Standard - HMO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - EPO
- Wellmark Bronze HDHP HMO HSA Qualified - HMO
- Wellmark Bronze Traditional HMO - HMO
- Wellmark Gold Traditional HMO - HMO
- Wellmark Silver Traditional HMO - HMO
- Wellmark Standard Bronze HMO - HMO
- Wellmark Standard Gold HMO - HMO
- Wellmark Standard Silver HMO - HMO
- Wellmark Bronze HDHP EPO HSA Qualified - EPO
- Wellmark Bronze Traditional EPO - EPO
- Wellmark Gold Traditional EPO - EPO
- Wellmark Silver Traditional EPO - EPO
- Wellmark Standard Bronze EPO - EPO
- Wellmark Standard Gold EPO - EPO
- Wellmark Standard Silver EPO - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Julie Sherman 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: 7214112325
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: I20190208002729
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: $31.9 for a new patient copayment and $17.43 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 56156 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $127.61
- Minimum New Patient Price $56
- Maximum New Patient Price $168.28
- Average New Patient Copayment $31.9
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.07
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.74
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $138.04
- Average Established Patient Copayment $17.43
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $34.51
* 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. Julie Sherman is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
SANFORD USD MEDICAL CENTER | 1305 W 18TH ST POST OFFICE BOX 5039 SIOUX FALLS, SD 57117 | (605) 333-1000 | Acute 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. | |||||||||
1 | 7 | 5 | 0 | 6 | 8 | 8 | 8 | 6 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 10 | 0 | 12 | 8 | 16 | 8 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 0 + 0 + 1 + 2 + 8 + 1 + 6 + 8 + 1 + 2 + 24 = 63 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 63 = 7 | 7 |
The NPI number 1750688867 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1235266008 | SARAH JEAN WRIGG PHARMD Individual | Pharmacist | 1600 N KNISS AVE SANFORD HOSPITAL LUVERNE LUVERNE, MN 56156 (507) 449-1273 |
1386848257 | MS. TAMMY K LOOSBROCK DPT, MBA Individual | Physical Therapist | 1600 N KNISS AVE LUVERNE, MN 56156 (507) 449-1238 |
1548452790 | MR. JOBI JOHN COLWELL PT Individual | Physical Therapist | 1600 N KNISS AVE LUVERNE, MN 56156 (507) 449-1229 |
1588856470 | MRS. PATRICIA ANN HALSE Individual | Speech-Language Pathologist | 1600 N KNISS AVE LUVERNE, MN 56156 (507) 449-1229 |
1053507350 | MISS KATHLEEN MARIE LOOSBROCK PTA Individual | Physical Therapy Assistant | 1600 N KNISS AVE LUVERNE, MN 56156 (507) 449-1229 |
1801240502 | AUSTIN SPRONK M.D. Individual | Family Medicine | 1600 N KNISS AVE LUVERNE, MN 56156 (507) 283-2321 |
1205128055 | ZACHARY R NOLZ M.D. Individual | Family Medicine | 1600 N KNISS AVE LUVERNE, MN 56156 (507) 283-2321 |
1760672984 | JENNIFER LYNN HOEFERT DPT Individual | Physical Therapist | 1600 N KNISS AVE LUVERNE, MN 56156 (507) 449-1229 |
1497703045 | SANFORD HEALTH NETWORK Organization | General Acute Care Hospital (Critical Access) | 1600 N KNISS AVE LUVERNE, MN 56156 (507) 283-2321 |
1740239433 | SANFORD HEALTH NETWORK Organization | General Acute Care Hospital (Critical Access) | 1600 N KNISS AVE LUVERNE, MN 56156 (507) 283-2321 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750688867, enumerated in the NPI registry as an "individual" on February 25, 2011
The provider is located at 1600 N Kniss Ave Luverne, Mn 56156 and the phone number is (507) 283-2321
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: Medica, Wellmark Health Plan of Iowa, Inc. and. 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 $127.61 with an average copayment of $31.9 for new patient appointments. Established patients should expect a typical charge of $69.74 and an average copayment of 17.43. Please review your insurance plan or contact the provider directly to determine your specific costs.
The practitioner is affiliated to the following hospital(s): SANFORD USD MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on February 25, 2011. 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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