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: August 09, 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
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

Accepted 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)

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.

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.

Family Medicine
250 PARADISE RD
SWAMPSCOTT, MA 01907
Clinic/Center (Urgent Care)
250 PARADISE RD
SWAMPSCOTT, MA 01907
Family Medicine
250 PARADISE RD
SWAMPSCOTT, MA 01907
Family Medicine
250 PARADISE RD
SWAMPSCOTT, MA 01907
Family Medicine
250 PARADISE RD
SWAMPSCOTT, MA 01907
Family Medicine
250 PARADISE RD
SWAMPSCOTT, MA 01907
Family Medicine
250 PARADISE RD
SWAMPSCOTT, MA 01907
Family Medicine
250 PARADISE RD
SWAMPSCOTT, MA 01907

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.

What insurance does Emily Prahl accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee 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 6 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.