HEENA NISSARALY DNP, RN, AGNP-C
NPI 1013890433
Nurse Practitioner in Jamaica Plain, MA
About Heena Nissaraly Dnp, Rn, Agnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEENA NISSARALY DNP, RN, AGNP-C (NPI 1013890433) is an individual nurse practitioner in Jamaica Plain, Massachusetts, licensed in Massachusetts (AG07250146) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Brigham And Women's Hospital, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Heena Nissaraly Dnp, Rn, Agnp-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Heena Nissaraly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 220 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Brigham And Women's Hospital
Acute Care Hospitals · Boston, MAFaulkner Hospital-Brigham And Women's
Acute Care Hospitals · Boston, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02130 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.
JAMAICA PLAIN, MA 02130
JAMAICA PLAIN, MA 02130
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 Heena Nissaraly's NPI number?
The NPI number for Heena Nissaraly is 1013890433. It was assigned to this individual provider in the NPPES registry on July 31, 2025.
Where is Heena Nissaraly located?
Heena Nissaraly practices at 3297 Washington St, Jamaica Plain, MA 02130. The listed phone number is (617) 522-4700.
What is Heena Nissaraly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Heena Nissaraly enrolled in Medicare?
Yes. Heena Nissaraly 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.
Which organization bills Medicare for Heena Nissaraly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heena Nissaraly reassigns Medicare benefits to Brigham & Womens Hospital, Inc. (Boston, MA). 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 Heena Nissaraly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Heena Nissaraly affiliated with any hospitals?
According to CMS data, Heena Nissaraly is affiliated with Brigham And Women's Hospital and Faulkner Hospital-Brigham And Women's.
When was this NPI record last updated?
The NPPES record for Heena Nissaraly was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Heena Nissaraly, DNP, RN, AGNP-C · NPI 1013890433
Nurse Practitioner physician in Jamaica Plain, Massachusetts. Individual provider, active in the CMS NPPES registry since July 31, 2025.
## Identity
- **NPI:** 1013890433 (Entity type: Individual)
- **Enumerated:** July 31, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** AG07250146 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 3297 WASHINGTON ST, Jamaica Plain, MA 02130-2655
- **Phone:** (617) 522-4700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Brigham & Womens Hospital, Inc. (NPI 1790717650, Boston, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** February 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1013890433) · Data from the CMS NPPES public registry.