MICHAEL WASSIM NICOLAS CNP
NPI 1033046461
Nurse Practitioner in Boston, MA

Active since May 07, 2026
55 FRUIT ST, BOSTON, MA 02114(617) 643-2275(617) 726-3306 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Wassim Nicolas Cnp NPPES

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

MICHAEL WASSIM NICOLAS CNP (NPI 1033046461) is an individual nurse practitioner in Boston, Massachusetts, licensed in Massachusetts (RN2319976) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1033046461
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMICHAEL WASSIM NICOLASCredential: CNP
Location Address55 FRUIT STBoston, MA 02114-2696
Mailing Address55 Fruit StBoston, MA 02114-2696 · (617) 643-2275 · Fax (617) 726-3306
Fax(617) 726-3306
Sole ProprietorYes
Enumeration DateMay 7, 2026
NPPES CertifiedMay 7, 2026
NPI 1033046461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MA · RN2319976
Definition
(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.
55 FRUIT ST, Boston, MA 02114

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114

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 Michael Nicolas's NPI number?

The NPI number for Michael Nicolas is 1033046461. It was assigned to this individual provider in the NPPES registry on May 7, 2026.

Where is Michael Nicolas located?

Michael Nicolas practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 643-2275.

What is Michael Nicolas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Michael Nicolas was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.