RACHAEL ERIN PRENDERGAST MSN, RN, PNP-AC
NPI 1700393394
Nurse Practitioner - Pediatrics in Providence, RI
About Rachael Erin Prendergast Msn, Rn, Pnp-ac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RACHAEL ERIN PRENDERGAST MSN, RN, PNP-AC (NPI 1700393394) is an individual pediatrics provider in Providence, Rhode Island, licensed in Rhode Island (APRN04116) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rachael Erin Prendergast Msn, Rn, Pnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
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 Rachael Prendergast's NPI number?
The NPI number for Rachael Prendergast is 1700393394. It was assigned to this individual provider in the NPPES registry on January 4, 2018.
Where is Rachael Prendergast located?
Rachael Prendergast practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-7396.
What is Rachael Prendergast's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Rachael Prendergast enrolled in Medicare?
Yes. Rachael Prendergast is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Rachael Prendergast was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Rachael Erin Prendergast, MSN, RN, PNP-AC · NPI 1700393394
Pediatrics physician in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since January 4, 2018.
## Identity
- **NPI:** 1700393394 (Entity type: Individual)
- **Enumerated:** January 4, 2018
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** APRN04116 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 593 EDDY ST, Providence, RI 02903-4923
- **Phone:** (401) 444-7396
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 7, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1700393394) · Data from the CMS NPPES public registry.