RENUVA BACK AND PAIN CENTER
NPI 1801155486
Nurse Practitioner in Overland Park, KS
NPI Status: Active since May 16, 2012
Contact Information
4400 COLLEGE BLVD STE 150
OVERLAND PARK, KS
ZIP 66211
Phone: (913) 667-2298
- Organization
- Nurse Practitioner
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
About RENUVA BACK AND PAIN CENTER
This page provides the complete NPI Profile along with additional information for Renuva Back And Pain Center, a provider established in Overland Park, Kansas operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1801155486 assigned on May 2012. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Renuva Back And Pain Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Renuva Back And Pain Center. The authorized official of this NPI record is Dr. Michael Green D.c. (Associate D.c.)
- NPI
- 1801155486
- Provider Legal Name
- RENUVA HEALTH LLC
- Other Organization Name
- RENUVA BACK AND PAIN CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4400 COLLEGE BLVD STE 150 OVERLAND PARK, KS 66211
- Location Phone
- (913) 667-2298
- Mailing Address
- 4400 COLLEGE BLVD STE 150 OVERLAND PARK, KS 66211
- Mailing Phone
- (913) 667-2298
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-16-2012
- Last Update Date
- 12-12-2023
- Code Navigator
A nurse practitioner (NP) like Renuva Back And Pain Center 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.
Renuva Back And Pain Center is a medicare supplier with PTAN 34357994 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Contracture Treatment Devices: Dynamic Splint or Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf.
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
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 111N00000X | Chiropractic Providers | Chiropractor | |
| 2 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 34357994
- Accepts Medicare Assignment
- NO
- Provider Type List
- NURSE PRACTITIONER.
- Competitive Bidding
- NO
Supplies List
- Contracture Treatment Devices: Dynamic Splint - Dynamic splinting devices for the knee, elbow, wrist, finger, or toe
- Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
- Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
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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 | 8 | 0 | 1 | 1 | 5 | 5 | 4 | 8 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 0 | 1 | 2 | 5 | 10 | 4 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 0 + 1 + 2 + 5 + 1 + 0 + 4 + 1 + 6 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1801155486 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1700998721 | DR. MICHAEL DAVID RILEY Individual | Chiropractor (Internist) | 4400 COLLEGE BLVD STE 150 OVERLAND PARK, KS 66211 (913) 667-2298 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801155486, enumerated in the NPI registry as an "organization" on May 16, 2012
The provider is located at 4400 College Blvd Ste 150 Overland Park, Ks 66211 and the phone number is (913) 667-2298
This medical organization specializes in Nurse Practitioner with taxonomy code 363L00000X
This NPI record was last updated on May 16, 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].
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