TRACEY CAPELL
NPI 1265707111
Nutritionist in Freehold, NJ
NPI Status: Active since March 11, 2012
Contact Information
85 AMSTERDAM DR
FREEHOLD, NJ
ZIP 07728
Phone: (732) 308-0351
- Individual
- Female
- Years of Experience 24
- Nutritionist
- Accepts Medicare Approved Payment
- Medicare Quality Reporting
About TRACEY CAPELL
This page provides the complete NPI Profile along with additional information for Tracey Capell, a provider established in Freehold, New Jersey with a medical specialization in Nutritionist and more than 24 years of experience. The healthcare provider is registered in the NPI registry with number 1265707111 assigned on March 2012. The practitioner's primary taxonomy code is 133N00000X. The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1265707111
- Provider Name
- TRACEY CAPELL
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 85 AMSTERDAM DR FREEHOLD, NJ 07728
- Location Phone
- (732) 308-0351
- Mailing Address
- 85 AMSTERDAM DR FREEHOLD, NJ 07728
- Medical School Name
- OTHER
- Graduation Year
- 2002
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-11-2012
- Last Update Date
- 03-11-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nutritionist
- Taxonomy Code
- 133N00000X
- Type
- Dietary & Nutritional Service Providers
- Taxonomy Description
- A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
Medicare Participation & PECOS Enrollment Status
Tracey Capell is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 345632642
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20220119000173
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 42% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 31 |
| Documentation of Current Medications in the Medical Record | 19% | 408 |
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 80% | 228 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 44% | 232 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 46% | 232 |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1265707111, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265707111, enumerated as an "individual" on March 11, 2012.
The provider is located at 85 AMSTERDAM DR FREEHOLD, NJ 07728 and the phone number is (732) 308-0351.
Nutritionist with taxonomy code 133N00000X.
