TRACY ANN VIDETTA PMHNP
NPI 1265194674
Nurse Practitioner - Psychiatric/Mental Health in Lowell, MA
About Tracy Ann Videtta Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACY ANN VIDETTA PMHNP (NPI 1265194674) is an individual psychiatric/mental health provider in Lowell, Massachusetts, licensed in Massachusetts (RN2299729) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tracy Ann Videtta Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Tracy Videtta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Woburn, MA 01801
- Reassigned Medicare billing, Massachusetts enrollment
- 145 clinicians in this Medicare group
Holyoke, MA 01040
- Reassigned Medicare billing, Massachusetts enrollment
- 77 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Massachusetts enrollment
- 522 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01852 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Tracy Videtta's NPI number?
The NPI number for Tracy Videtta is 1265194674. It was assigned to this individual provider in the NPPES registry on October 13, 2021.
Where is Tracy Videtta located?
Tracy Videtta practices at 27 Jackson St Apt 213, Lowell, MA 01852. The listed phone number is (617) 697-2721.
What is Tracy Videtta's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Tracy Videtta enrolled in Medicare?
Yes. Tracy Videtta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Tracy Videtta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Videtta reassigns Medicare benefits to 3 organizations: Hri Clinics, Inc. (Woburn, MA), Holyoke Capital Jv, LLC (Holyoke, MA) and Grow Healthcare Group PA (Miami, FL). 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 Tracy Videtta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tracy Videtta accept?
Health plans from Harvard Pilgrim Health Care and WellSense Health Plan list Tracy Videtta 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 Tracy Videtta was last updated on October 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Tracy Ann Videtta, PMHNP · NPI 1265194674
Psychiatric/Mental Health physician in Lowell, Massachusetts. Individual provider, active in the CMS NPPES registry since October 13, 2021.
## Identity
- **NPI:** 1265194674 (Entity type: Individual)
- **Enumerated:** October 13, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** RN2299729 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 27 JACKSON ST APT 213, Lowell, MA 01852-2140
- **Phone:** (617) 697-2721
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Hri Clinics, Inc. (NPI 1598707002, Woburn, MA); Holyoke Capital Jv, LLC (NPI 1649856618, Holyoke, MA); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** October 13, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1265194674) · Data from the CMS NPPES public registry.