NPI Registry for Specialist Doctors in Ballston Spa. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup for all Doctors

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NPI for Specialist Doctors in Ballston Spa

Find National Provider Identifier (NPI) Number of Specialist Doctors in Ballston Spa. NPI is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States (US). You can also find mailing address, contact information and other necessary information of all Specialist Doctors in Ballston Spa.

Definition of Specialist - An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Just simply click on the name of the doctor whose details you want to know from the below list.

Provider Name/NPIAddressTaxonomy (Code)
Kristine A Phelps
NPI- 1093077265
 106 Concord Ave.,
Ballston Spa - 12020		 Specialist
(174400000X)
Mrs. Rebecca S. Newman
NPI- 1215299672
 135 Juniper Dr,
Ballston Spa - 12020		 Specialist
(174400000X)
Pamela Dawn O'rourke
NPI- 1295097053
 3346 Galway Rd,
Ballston Spa - 12020		 Specialist
(174400000X)
Mrs. Renee M. Kernan
NPI- 1427327204
 100 Wood Rd,
Ballston Spa - 12020		 Specialist
(174400000X)
Ms. Gaylen Palma Wichrowski
NPI- 1760787568
 210 Ballston Ave,
Ballston Spa - 12020		 Specialist
(174400000X)
Mrs. Carrie Beth Wattie
NPI- 1972865723
 4 Kerry Ct,
Ballston Spa - 12020		 Specialist
(174400000X)

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What is NPI Number?
The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Benefits of an NPI
- Simple electronic transmission of HIPAA standard transactions
- Standard unique health identifiers for health care providers, health care plans, and employers and
- Efficient coordination of benefit transactions


Where NPI should be used?
The NPI must be used in place of legacy provider identifiers, such as a Unique Provider Identification Number (UPIN), Online Survey Certification & Reporting (OSCAR) and National Supplier Clearinghouse (NSC) in HIPAA standard transactions. There are two categories of health care providers for NPI enumeration purposes. Entity Type 1 providers are individual providers who render health care (e.g., physicians, dentists, nurses). Sole proprietors and sole proprietorships are Entity Type 1 (Individual) providers. Organization health care providers (e.g., hospitals, home health agencies, ambulance companies) are considered Entity Type 2 (Organization) providers.
Obtaining an NPI Does Not:
- Ensure a provider is licensed or credential
- Guarantee payment by a health plan
- Enroll a provider in a health plan
- Turn a provider into a covered provider
- Require a provider to conduct HIPAA transactions or
- Change or replace the current Medicare enrolment or certification process
Who Must Obtain an NPI?
All health care providers who are HIPAA-covered entities, whether they are individuals (e.g., physicians, nurses, dentists, chiropractors, physical therapists, or pharmacists) or organizations (e.g., hospitals, home health agencies, clinics, nursing homes, residential treatment centers, laboratories, ambulance companies, group practices, Health Maintenance Organizations [HMOs], suppliers of durable medical equipment, pharmacies) must obtain an NPI. The NPI will be used by HIPAA-covered entities (e.g., health plans, health care clearinghouses, and certain health care providers) to identify health care providers in HIPAA standard transactions. A covered health care provider, under HIPAA, is any health care provider who transmits health information in electronic form in connection with a transaction for which the Secretary of Health and Human Services has adopted a standard, even if the health care provider uses a business associate to do so.
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