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NANCY E PRATT M.D.
NPI 1689654683
Psychiatry & Neurology - Psychiatry in Worcester, MA

Active since January 18, 2006PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
100 CENTURY DR, WORCESTER, MA 01606(508) 762-5400(508) 762-5410 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 3, 2020, Oct 28, 2019 (2 updates tracked since 2019).

About Nancy E Pratt M.d. NPPES

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

NANCY E PRATT M.D. (NPI 1689654683) is an individual psychiatry provider in Worcester, Massachusetts, licensed in Massachusetts (51298) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of Tufts University School Of Medicine (1980).

NPPES Registry Identity

NPI1689654683
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameNANCY E PRATTCredential: M.D.
Location Address100 CENTURY DRWorcester, MA 01606-1244
Mailing AddressPo Box 415348Boston, MA 02241-5348
Phone(508) 762-5400
Fax(508) 762-5410
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1980
Enumeration DateJanuary 18, 2006
Last NPPES UpdateDecember 3, 20202 updates tracked since enumeration
NPPES CertifiedDecember 3, 2020
✔ NPI 1689654683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MA · 51298
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

100 CENTURY DR, Worcester, MA 01606
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Other Identifiers 1

Medicaid3189368MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

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

Nancy E Pratt M.d. 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 ID3375599368
PECOS Enrollment IDI20050323000374
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 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.
142 services23 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
132 services20 patients
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.
91 services20 patients

Hospital Affiliations CMS Care Compare

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

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01606 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
$177.36 typical visit price
range $58.86 – $177.36
Typical copayment $44.34 (range $14.71 – $44.34)
Most-billed visit code 99205
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

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.

CAROLINE J ALPER M.D.
Internal Medicine
100 CENTURY DR
WORCESTER, MA 01606
Worcester County (508) 421-5915
MS. CHERYL LYNN CATOGGIO R.PH
Pharmacist
100 CENTURY DR
WORCESTER, MA 01606
Worcester County (508) 421-5819
MRS. JOANNE HANNA R.PH
Pharmacist
100 CENTURY DR, SUITE A
WORCESTER, MA 01606
Worcester County (508) 421-5801
KAREN WENTWORTH PSYD
Psychologist (Clinical)
100 CENTURY DR
WORCESTER, MA 01606
Worcester County (508) 762-5400
DR. KELLY SUZANNE WOLF CRAIG PHD
Psychologist (Clinical)
100 CENTURY DR
WORCESTER, MA 01606
Worcester County (508) 762-5400
DR. JOSHUA HAUGH DO
Psychiatry & Neurology (Psychiatry)
100 CENTURY DR
WORCESTER, MA 01606
Worcester County (508) 762-5400
INES BASTEN MD
Student in an Organized Health Care Education/Training Program
100 CENTURY DR
WORCESTER, MA 01606
Worcester County (508) 334-2537
MASSACHUSETTS REHABILITATION COMMISSION
Community/Behavioral Health
100 CENTURY DR
WORCESTER, MA 01606
Worcester County (508) 421-5938

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 Nancy Pratt's NPI number?

The NPI number for Nancy Pratt is 1689654683. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Nancy Pratt located?

Nancy Pratt practices at 100 Century Dr, Worcester, MA 01606. The listed phone number is (508) 762-5400.

What is Nancy Pratt's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Nancy Pratt enrolled in Medicare?

Yes. Nancy Pratt 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.

What insurance does Nancy Pratt accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Nancy Pratt 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.

Is Nancy Pratt affiliated with any hospitals?

According to CMS data, Nancy Pratt is affiliated with Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Nancy Pratt was last updated on December 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.