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DR. AUDREY NAGLE MD
NPI 1609858802
Pediatrics - Neonatal-Perinatal Medicine in Walnut Creek, CA

Active since November 15, 2005PECOS Enrolled
1425 S MAIN ST, WALNUT CREEK, CA 94596(707) 718-0651 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 13, 2021, Aug 12, 2019 (2 updates tracked since 2019).

About Dr. Audrey Nagle Md NPPES

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

DR. AUDREY NAGLE MD (NPI 1609858802) is an individual neonatal-perinatal medicine provider in Walnut Creek, California, licensed in California (A77548) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609858802
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. AUDREY NAGLECredential: MD
Location Address1425 S MAIN STWalnut Creek, CA 94596-5318
Mailing Address1141 Pear Tree Ln, Suite 100Napa, CA 94558-6484 · (707) 254-1770
Phone(707) 718-0651
Sole ProprietorNo
Enumeration DateNovember 15, 2005
Last NPPES UpdateDecember 13, 20212 updates tracked since enumeration
✔ NPI 1609858802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in CA · A77548
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
1425 S MAIN ST, Walnut Creek, CA 94596
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Audrey Nagle Md 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 Reassignment

Medicare enrollment records show Audrey Nagle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
17 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555

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

Other Providers at the Same Location NPPES 20

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

BROOK ANDREW WOOLLEY M.D.
Emergency Medicine
1425 S MAIN ST, EMERGENCY MEDICINE DEPARTMENT
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-5100
DR. THOMAS CRESANTE D.O.
Hospitalist
1425 S MAIN ST, KAISER PERMANENTE WALNUT CREEK ATTN: HBS DEPT
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4643
SARA WON MD
Obstetrics & Gynecology
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4040
KAISER PERMANENTE
General Acute Care Hospital
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4000
MICHELLE CABLE VU CRNA
Nurse Anesthetist, Certified Registered
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4000
DR. JESUS GIL JIMENEZ MD
Surgery (Vascular Surgery)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4110
MR. EDWARD HAL PIECZENIK L.C.S.W.
Social Worker (Clinical)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-5237
CARLOS A. CROMEYER MD
Psychiatry & Neurology (Neurology)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4000

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 Audrey Nagle's NPI number?

The NPI number for Audrey Nagle is 1609858802. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Audrey Nagle located?

Audrey Nagle practices at 1425 S Main St, Walnut Creek, CA 94596. The listed phone number is (707) 718-0651.

What is Audrey Nagle's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Audrey Nagle enrolled in Medicare?

Yes. Audrey Nagle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Audrey Nagle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Audrey Nagle reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). The 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 Audrey Nagle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Audrey Nagle was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.