REBECCA HEGEL FNP
NPI 1437558301
Nurse Practitioner - Family in Albany, NY

Active since August 17, 2014PECOS EnrolledAccepts Medicare Assignment
65.44/100
CMS Quality Rating
310 S MANNING BLVD, ALBANY, NY 12208(518) 525-2323 Get Directions Write a Review

NPPES record last updated: August 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rebecca Hegel Fnp NPPES

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

REBECCA HEGEL FNP (NPI 1437558301) is an individual family provider in Albany, New York, licensed in New York (8654099) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Saratoga Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1437558301
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameREBECCA HEGELCredential: FNP
Location Address310 S MANNING BLVDAlbany, NY 12208-1771
Mailing Address6 Backstreatch CtSaratoga Springs, NY 12866-7343 · (518) 522-7224
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 17, 2014
NPI 1437558301 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 NY · 8654099
310 S MANNING BLVD, Albany, NY 12208

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Rebecca Hegel Fnp 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.

PECOS PAC ID8921325408
PECOS Enrollment IDI20150320001556
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 3

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.
49 services49 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services31 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330222
Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

65.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.37
Improvement Activities40
Cost64.8

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
32%76 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

Occupational Therapy Assistant
310 S MANNING BLVD
ALBANY, NY 12208
Nurse Practitioner (Family)
310 S MANNING BLVD
ALBANY, NY 12208
Occupational Therapist
310 S MANNING BLVD
ALBANY, NY 12208
Nurse Practitioner (Adult Health)
310 S MANNING BLVD
ALBANY, NY 12208
Occupational Therapist
310 S MANNING BLVD
ALBANY, NY 12208

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 Rebecca Hegel's NPI number?

The NPI number for Rebecca Hegel is 1437558301. It was assigned to this individual provider in the NPPES registry on August 17, 2014.

Where is Rebecca Hegel located?

Rebecca Hegel practices at 310 S Manning Blvd, Albany, NY 12208. The listed phone number is (518) 525-2323.

What is Rebecca Hegel's specialty?

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

Is Rebecca Hegel enrolled in Medicare?

Yes. Rebecca Hegel 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.

Is Rebecca Hegel affiliated with any hospitals?

According to CMS data, Rebecca Hegel is affiliated with Saratoga Hospital.

When was this NPI record last updated?

The NPPES record for Rebecca Hegel was last updated on August 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.