Scenario: multi specialty practice, ONE tax ID.. Ortho and PM&R. When a patient sees an ortho, and then sees the PM&R within 3 years, the PM&R can bill a new patient visit because the PM&R is a different specialty, and vice versa.

Is a nurse practitioner considered a "different specialty" as well? Is she able to code her initial visits with patient who have already been seen by one of the orthos or PM&R in the last 3 years?

Thank you