Individual provider Active NPI

Nancy Virginia Prechtl, DPM

  • Foot & Ankle Surgery Podiatrist
  • Wakefield, MA
National Provider Identifier
1861690810
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2306 Issued in MA
Practice address
380 Lowell St Ste 102
Wakefield, MA 01880-1984
Phone
(781) 224-3668
Fax
(812) 243-6677
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 2306 MA
Foot & Ankle Surgery Podiatrist 213ES0103X 2306 MA Primary
Podiatrist 213E00000X 2306 MA

Addresses

Primary practice location

380 Lowell St Ste 102
Wakefield, MA 01880-1984

Mailing address

380 Lowell St Ste 102
Wakefield, MA 01880-1984
Phone (781) 224-3668

Other identifiers 11

IdentifierTypeStateIssuer
4510094OtherAETNA
99448901OtherMANETWORK HEALTH
110076993AMedicaidMA
205191632OtherUNICARE/GIC
205191632OtherUNITED HEALTHCARE
496781OtherMATUFTS
0043548OtherNEIGHBORHOOD HEALTH PLAN
95543405OtherNETWORK HEALTH
Y71141OtherBLUE CROSS BLUE SHIELD
205191632OtherCOMMONWEALTH INDEMNITY
7776024OtherCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070830000333 MA Practitioner - Podiatry 7416040811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

380 Lowell St
Suite 102
Wakefield, MA 01880-1984
Phone (781) 224-3668

Hospital & facility affiliations

  • Melrosewakefield Healthcare Hospital, Melrose, MA, CCN 220070

Merit-based Incentive Payment System (MIPS)

Final score
91.17 of 100Reported as group
Quality
81.62
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue30
Removal of skin lesions47
Removal of nail tissue851
Removal or shaving of skin growth536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2306MAMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wakefield Foot and Ankle Foot Surgery Current Accepting new patients
NVP Podiatry, LLC Podiatrist CurrentSince Oct 1, 2018 Accepting new patients
Podiatry Healthcare P.C. Foot Surgery Past Accepting new patients

Locations

380 Lowell St
Ste 102
Wakefield, MA 01880
Phone (781) 224-3668

Interoperability endpoints

  • Direct secure messaging: nprechtl28869@tuftsmedicine.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1861690810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 LOWELL ST STE 102",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801984",
            "telephone_number": "781-224-3668",
            "fax_number": "817-224-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 LOWELL ST STE 102",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801984",
            "telephone_number": "781-224-3668",
            "fax_number": "812-243-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRECHTL",
        "first_name": "NANCY",
        "middle_name": "VIRGINIA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MA",
            "license": "2306",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "2306",
            "primary": true
        },
        {
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            "taxonomy_group": "",
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            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4510094",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "99448901",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110076993A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE/GIC",
            "identifier": "205191632",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "205191632",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "496781",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0043548",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "95543405",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y71141",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH INDEMNITY",
            "identifier": "205191632",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7776024",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, MA

Sources for this page

Verify at the official NPI Registry.