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EMILY PRAHL
NPI 1164070413
Nurse Practitioner - Family in Swampscott, MA

Active since August 29, 2019PECOS Enrolled
250 PARADISE RD, SWAMPSCOTT, MA 01907(781) 596-2000 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Emily Prahl NPPES

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

EMILY PRAHL (NPI 1164070413) is an individual family provider in Swampscott, Massachusetts, licensed in Massachusetts (2019046561) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164070413
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEMILY PRAHL
Location Address250 PARADISE RDSwampscott, MA 01907-2948
Mailing Address250 Paradise RdSwampscott, MA 01907-2948 · (781) 596-2000
Phone(781) 596-2000
Sole ProprietorNo
Enumeration DateAugust 29, 2019
✔ NPI 1164070413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · 2019046561
250 PARADISE RD, Swampscott, MA 01907
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Prahl 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Emily Prahl reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Monarch
581 mi
Community/Behavioral Health
809 TIFFANY BLVD
Rocky Mount, NC 27804
  • Reassigned Medicare billing, North Carolina enrollment
  • 260 clinicians in this Medicare group
NPI 1346680543 (704) 986-1500
Best Day Psychiatry And Counseling, PC
588 mi
Psychiatry
707 WH SMITH BLVD
Greenville, NC 27834
  • Reassigned Medicare billing, North Carolina enrollment
  • 47 clinicians in this Medicare group
NPI 1982243309 (910) 323-1543

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
74 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01907 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 16

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

KEITH C NOBIL MD
Family Medicine
250 PARADISE RD
SWAMPSCOTT, MA 01907
Essex County (781) 596-2000
FAMILY DOCTORS, LLC
Clinic/Center (Urgent Care)
250 PARADISE RD
SWAMPSCOTT, MA 01907
Essex County (781) 596-2000
JOSHUA COHEN MD
Family Medicine
250 PARADISE RD
SWAMPSCOTT, MA 01907
Essex County (781) 596-2000
FAMILY DOCTORS, LLC
Family Medicine
250 PARADISE RD
SWAMPSCOTT, MA 01907
Essex County (781) 596-2000
DR. AMANDA RAE RITVO M.D.
Family Medicine
250 PARADISE RD
SWAMPSCOTT, MA 01907
Essex County (781) 596-2000
DR. ALEC J STYLE MD
Family Medicine
250 PARADISE RD
SWAMPSCOTT, MA 01907
Essex County (781) 596-2000
LAURIE H WITTS MD
Family Medicine
250 PARADISE RD
SWAMPSCOTT, MA 01907
Essex County (781) 596-2000
LISA MICHELLE CEPLIKAS M.D.
Family Medicine
250 PARADISE RD
SWAMPSCOTT, MA 01907
Essex County (781) 596-2000

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 Emily Prahl's NPI number?

The NPI number for Emily Prahl is 1164070413. It was assigned to this individual provider in the NPPES registry on August 29, 2019.

Where is Emily Prahl located?

Emily Prahl practices at 250 Paradise Rd, Swampscott, MA 01907. The listed phone number is (781) 596-2000.

What is Emily Prahl's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Emily Prahl enrolled in Medicare?

Yes. Emily Prahl is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Emily Prahl's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Prahl reassigns Medicare benefits to 2 organizations: Monarch (Rocky Mount, NC) and Best Day Psychiatry And Counseling, PC (Greenville, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emily Prahl's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Prahl accept?

Health plans from Oscar Health Plan of North Carolina, Inc list Emily Prahl 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 Emily Prahl was last updated on August 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.