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DECLAN FOTOH PMHNP
NPI 1063258341
Nurse Practitioner - Psychiatric/Mental Health in Lowell, MA

Active since July 05, 2024PECOS Enrolled

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Declan Fotoh Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DECLAN FOTOH PMHNP (NPI 1063258341) is an individual psychiatric/mental health provider in Lowell, Massachusetts, licensed in Massachusetts (2024058381) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063258341
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDECLAN FOTOHCredential: PMHNP
Location Address600 PINE STLowell, MA 01851-2309
Mailing Address600 Pine StLowell, MA 01851-2309
Phone(978) 726-0056
Sole ProprietorNo
Enumeration DateJuly 5, 2024
NPPES CertifiedJuly 5, 2024
✔ NPI 1063258341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · 2024058381
600 PINE ST, Lowell, MA 01851
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Declan Fotoh Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01851 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WISDOM COMMUNITY HEALTH LLC
Nurse Practitioner (Psychiatric/Mental Health)
600 PINE ST
LOWELL, MA 01851
Middlesex County (978) 338-7360

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Declan Fotoh's NPI number?

The NPI number for Declan Fotoh is 1063258341. It was assigned to this individual provider in the NPPES registry on July 5, 2024.

Where is Declan Fotoh located?

Declan Fotoh practices at 600 Pine St, Lowell, MA 01851. The listed phone number is (978) 726-0056.

What is Declan Fotoh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Declan Fotoh enrolled in Medicare?

Yes. Declan Fotoh is registered in the Medicare PECOS enrollment system.

What insurance does Declan Fotoh accept?

Health plans from Harvard Pilgrim Health Care and Providence Health Plan list Declan Fotoh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Declan Fotoh was last updated on July 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.