Individual provider Active NPI

Renee A Pecorelli, D.C.

  • Chiropractor
  • Nescopeck, PA
National Provider Identifier
1710939327
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC005602L Issued in PA
Practice address
820 3Rd St
Nescopeck, PA 18635-1407
Phone
(570) 759-7009
Fax
(570) 759-8099
NPI assigned
May 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC005602L PA Primary

Addresses

Primary practice location

820 3Rd St
Nescopeck, PA 18635-1407

Mailing address

820 3Rd St
Nescopeck, PA 18635-1407
Phone (570) 759-7009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130104000280 PA Practitioner - Chiropractic 2860474632 Practice locations: Nescopeck, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

820 3Rd St
Nescopeck, PA 18635

820 3Rd St
Nescopeck, PA 18635-1407
Phone (570) 759-7009

820 E 3Rd St
Nescopeck, PA 18635-1407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710939327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 3RD ST",
            "city": "NESCOPECK",
            "state": "PA",
            "postal_code": "186351407",
            "telephone_number": "570-759-7009",
            "fax_number": "570-759-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 3RD ST",
            "city": "NESCOPECK",
            "state": "PA",
            "postal_code": "186351407",
            "telephone_number": "570-759-7009",
            "fax_number": "570-759-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECORELLI",
        "first_name": "RENEE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005602L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nescopeck, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.