MICHELE LATRICE TIMES RN,ANP-BC
NPI 1861796864
Nurse Practitioner in Florissant, MO


Quality Rating: 75 out of 100 score

NPI Status: Active since January 05, 2011

Contact Information

1225 GRAHAM RD
C-1330
FLORISSANT, MO
ZIP 63031
Phone: (314) 838-5702
Fax: (314) 839-5596

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  • Individual
  • Female
  • Nurse Practitioner
  • Accepts Insurance

About MICHELE TIMES

This page provides the complete NPI Profile along with additional information for Michele Times, a provider established in Florissant, Missouri with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1861796864 assigned on January 2011. The practitioner's primary taxonomy code is 363L00000X with license number 2011000076 (MO). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1861796864
Provider Name
MICHELE LATRICE TIMES RN,ANP-BC
Other Name
MICHELE LATRICE USSERY ANP
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1225 GRAHAM RD C-1330 FLORISSANT, MO 63031
Location Phone
(314) 838-5702
Location Fax
(314) 839-5596
Mailing Address
PO BOX 23340 SAINT LOUIS, MO 63156
Mailing Phone
(314) 838-5702
Mailing Fax
(314) 839-5596
Is Sole Proprietor?
No
Enumeration Date
01-05-2011
Last Update Date
04-08-2013
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A nurse practitioner (NP) like Michele Times 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

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
2011000076
License State
MO
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.

Insurance Plans Accepted

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

  • Connect Bronze 5500 Indiv Med Deductible - HMO
  • Connect Bronze 6000 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
  • Connect Bronze 8500 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Bronze DFW 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
  • Connect Gold 1000 Indiv Med Deductible - HMO
  • Connect Gold 2500 Indiv Med Deductible Enhanced Diabetes Care - HMO
  • Connect Gold 3250 Indiv Med Deductible - HMO
  • Connect Gold 3500 Indiv Med Deductible - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 3000 Indiv Med Deductible - HMO
  • Connect Silver 4000 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO
  • Wellpoint Essential Bronze 4000 HSA ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 6000 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs) - HMO
  • Wellpoint Essential Bronze 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze POS 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Bronze POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Bronze POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Catastrophic 9200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold POS 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Gold POS 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Gold POS 700 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver POS 2500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Silver POS 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS

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

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.

Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes

This is a routine 15-minute visit for patients residing in care facilities like nursing homes or assisted living. During this visit, healthcare providers review the patient's health, manage medications, and address any concerns or changes in condition. It ensures continuous, quality care.

This service was performed 191 times for 31 patients

Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes

This refers to a routine medical visit for an established patient living in a group care facility, custodial care, or assisted living. The visit typically lasts 25 minutes and includes a check-up and discussion about ongoing healthcare needs.

This service was performed 31 times for 16 patients

Follow-up nursing facility visit per day, typically 10 minutes

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

This service was performed 232 times for 96 patients

Follow-up nursing facility visit per day, typically 15 minutes

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

This service was performed 671 times for 132 patients

Follow-up nursing facility visit per day, typically 25 minutes

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

This service was performed 99 times for 71 patients

Initial nursing facility visit per day, typically 35 minutes

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

This service was performed 33 times for 33 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 75, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 75 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: N/A

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: N/A

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Reviews for MICHELE LATRICE TIMES RN,ANP-BC

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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.
1861796864
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2812114912812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 2 + 1 + 1 + 4 + 9 + 1 + 2 + 8 + 1 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1861796864 is valid because the calculated check digit 4 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
1861417255 THOMAS SHINE M.D.
Individual
Emergency Medicine1225 GRAHAM RD
FLORISSANT, MO 63031
(314) 953-6000
1487679882 ROGER WAXELMAN M.D.
Individual
Emergency Medicine1225 GRAHAM RD
FLORISSANT, MO 63031
(314) 953-6000
1295750693 WILLIAM WESTON M.D.
Individual
Emergency Medicine1225 GRAHAM RD
FLORISSANT, MO 63031
(314) 653-5000
1356366934NORTH COUNTY EMERGENCY PHYSICIANS, LLP
Organization
Emergency Medicine1225 GRAHAM RD
FLORISSANT, MO 63031
(314) 953-6000
1578589412 CYNTHIA BLEICHROTH M.D.
Individual
Emergency Medicine1225 GRAHAM RD
FLORISSANT, MO 63031
(314) 653-5000
1366452930CHRISTIAN HOSPITAL NORTHEAST- NORTHWEST
Organization
General Acute Care Hospital1225 GRAHAM RD
FLORISSANT, MO 63031
(314) 653-5000
1881790996 YOLANDA A ACKLIN NP
Individual
Nurse Practitioner1225 GRAHAM RD
FLORISSANT, MO 63031
(314) 953-6000
1043386162PHYSICIAN GROUPS LC
Organization
Clinic/Center (Primary Care)1225 GRAHAM RD SUITE 220
FLORISSANT, MO 63031
(314) 838-6700
1821112574 MELVYN RALPH GOLDBERG MD
Individual
Emergency Medicine (Pediatric Emergency Medicine)1225 GRAHAM RD
FLORISSANT, MO 63031
(314) 525-1900
1972502870 JANE F. BEATO RN, CS, FNP
Individual
Nurse Practitioner (Family)1225 GRAHAM RD STE 2310C
FLORISSANT, MO 63031
(314) 953-6300
1447231196 DENNIS R PATTON M.D.
Individual
Internal Medicine1225 GRAHAM RD SUITE C-1330
FLORISSANT, MO 63031
(314) 838-5702
1407967474 LAURENCE PERLSTEIN
Individual
Internal Medicine1225 GRAHAM RD STE 2320C
FLORISSANT, MO 63031
(314) 831-6883
1639280902 NARESH MISIR
Individual
Internal Medicine1225 GRAHAM RD STE C1340
FLORISSANT, MO 63031
(314) 831-6737
1265431399DR. ANTONIO R PENILLA M.D.
Individual
Internal Medicine (Cardiovascular Disease)1225 GRAHAM RD STE 2310C
FLORISSANT, MO 63031
(314) 953-6300
1801083530MRS. JAMIE L BROZEK PHYSICIAN ASSISTANT
Individual
Physician Assistant1225 GRAHAM RD EMERGENCY DEPARTMENT
FLORISSANT, MO 63031
(314) 953-6994
1093135980MR. DANIEL ZWILLING PA-C
Individual
Physician Assistant1225 GRAHAM RD
FLORISSANT, MO 63031
(314) 953-6000
1629052030MRS. DENISE J MULLANEY-MAYNARD ANP, ACNP
Individual
Nurse Practitioner (Adult Health)1225 GRAHAM RD STE 2310C
FLORISSANT, MO 63031
(314) 953-6300
1255694964DR. KATHERINE ARCHIBALD RAPP AU.D.
Individual
Audiologist1225 GRAHAM RD C1340
FLORISSANT, MO 63031
(314) 953-6093
1578517967 JAMES H HINRICHS M.D.
Individual
Internal Medicine (Infectious Disease)1225 GRAHAM RD #C-1330
FLORISSANT, MO 63031
(314) 838-5702
1538443072 BETSY L NELSON FNP
Individual
Nurse Practitioner (Family)1225 GRAHAM RD STE C-1330
FLORISSANT, MO 63031
(314) 838-5702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861796864, enumerated in the NPI registry as an "individual" on January 05, 2011

The provider is located at 1225 Graham Rd C-1330 Florissant, Mo 63031 and the phone number is (314) 838-5702

The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X

The provider might be accepting Accepts: Cigna Healthcare and WellPoint. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes, Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes, Follow-up nursing facility visit per day, typically 10 minutes, Follow-up nursing facility visit per day, typically 15 minutes, Follow-up nursing facility visit per day, typically 25 minutes and Initial nursing facility visit per day, typically 35 minutes.

This NPI record was last updated on January 05, 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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