NICOLE KOSTARELLAS PA-C
NPI 1083847628
Physician Assistant - Medical in Everett, MA

Active since August 31, 2009PECOS EnrolledAccepts Medicare Assignment
103 GARLAND ST, EVERETT, MA 02149(617) 381-7150 Get Directions Write a Review

NPPES record last updated: September 11, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Kostarellas Pa-c NPPES

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

NICOLE KOSTARELLAS PA-C (NPI 1083847628) is an individual medical provider in Everett, Massachusetts, licensed in Massachusetts (3822) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with Brigham And Women's Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1083847628
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNICOLE KOSTARELLASCredential: PA-C
Location Address103 GARLAND STEverett, MA 02149-5066
Mailing Address103 Garland StEverett, MA 02149-5066 · (617) 381-7150
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 31, 2009
Last NPPES UpdateSeptember 11, 2009
NPI 1083847628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MA · 3822
103 GARLAND ST, Everett, MA 02149

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

Nicole Kostarellas Pa-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.

PECOS PAC ID9335286376
PECOS Enrollment IDI20091024000038
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.

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, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220119
Location1153 Centre StreetBoston, MA 02130 · Suffolk County
Emergency services

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.

Internal Medicine (Cardiovascular Disease)
103 GARLAND ST
EVERETT, MA 02149
Social Worker (Clinical)
103 GARLAND ST
EVERETT, MA 02149
General Acute Care Hospital
103 GARLAND ST
EVERETT, MA 02149
Registered Nurse
103 GARLAND ST, EAST 3
EVERETT, MA 02149
Registered Nurse
103 GARLAND ST
EVERETT, MA 02149
Physical Therapist
103 GARLAND ST
EVERETT, MA 02149
Internal Medicine
103 GARLAND ST
EVERETT, MA 02149
Pharmacist
103 GARLAND ST
EVERETT, MA 02149

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 Nicole Kostarellas's NPI number?

The NPI number for Nicole Kostarellas is 1083847628. It was assigned to this individual provider in the NPPES registry on August 31, 2009.

Where is Nicole Kostarellas located?

Nicole Kostarellas practices at 103 Garland St, Everett, MA 02149. The listed phone number is (617) 381-7150.

What is Nicole Kostarellas's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nicole Kostarellas enrolled in Medicare?

Yes. Nicole Kostarellas 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.

Is Nicole Kostarellas affiliated with any hospitals?

According to CMS data, Nicole Kostarellas 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 Nicole Kostarellas was last updated on September 11, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.