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Active NPI 1952076200 Individual Practitioner Female Practitioner

Prachi Shah

Nurse Practitioner • Burlington, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Prachi Shah is a certified Nurse Practitioner practicing in Burlington, MA. With approximately 5 years of clinical experience since completing medical education in 2021, Prachi Shah delivers high-quality medical care to the local community at 67 S BEDFORD ST STE 101.

Prachi Shah is affiliated with Lahey Clinic Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service;, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

67 S Bedford St Ste 101

Burlington, MA 018035108

Telephone 7817448000
Associated Practice Facility / Clinic
🏢 Lahey Clinic Hospital, Inc. Facility NPI 1558392563

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Burlington, MA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -8.9 yrs vs City Avg
City Avg: 13.9 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
150 Specialists

Practicing in Burlington, MA (3545 Statewide)

Telehealth Adoption Rate
44.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
76.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shah (5 Years) 5 Yrs
Burlington Specialty Average (13.9 Years) 13.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
275 170 $556.36 $131.29
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or
136 70 $101.56 $28.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
99 76 $398.38 $88.41
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
59 55 $71.66 $15.04

Medical Specialties & State Licenses

CMS Verified: 2021-08-31
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA RN2308375

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License MA RN2308375

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Hospital & Practice Group Affiliations

Lahey Clinic Inc

41 Mall Rd, Burlington, MA 018050001

Lahey Clinic Inc

41 Mall Rd, Burlington, MA 018050001

Lahey Clinic Inc

29 Mall Rd, Burlington, MA 018050001

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sahoor Khan

Internal Medicine - Interventional Cardiology

NPI 1003270653
NPI 1003335670

Doctor of Medicine (M.D.)

Thais Roberts , AGNP

Nurse Practitioner

NPI 1003459645

Adult-Gerontology Nurse Practitioner

Raisa Cuccio , NP

Nurse Practitioner

NPI 1003502253

Nurse Practitioner

Dr. Thomas Brand , MD

Emergency Medicine

NPI 1013008143

Doctor of Medicine (M.D.)

Dr. Christine Thomas , MD

Pathology - Anatomic Pathology

NPI 1013021294

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 31, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 31, 2021

Registered at 67 S BEDFORD ST STE 101, BURLINGTON, MA 018035108 (Tel: 7817448000)

📍
Updated Business Mailing Address August 31, 2021

Registered at 67 S BEDFORD ST STE 202E, BURLINGTON, MA 018035141 (Tel: 7817448000)

👤
Provider Name / Credentials Updated August 31, 2021

Recorded as PRACHI SHAH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2021

Nurse Practitioner (License #RN2308375 in MA)

🟢
Initial NPI Registration & Enumeration August 10, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952076200
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2021
Last Update: August 31, 2021
Sole Proprietor: No

Mailing Address

67 S Bedford St Ste 202e

Burlington, MA 018035141

Phone: 7817448000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.