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JOELLE GRACE SULISTIO FNP
NPI 1104440908
Nurse Practitioner - Family in Boston, MA

Active since June 08, 2020PECOS EnrolledAccepts Medicare Assignment
732 HARRISON AVE, FL 2, PRESTON BLDG, BOSTON, MA 02118(617) 638-7470(617) 638-7449 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2024, Jun 21, 2023, May 9, 2022 and 2 more (5 updates tracked since 2020).

About Joelle Grace Sulistio Fnp NPPES

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

JOELLE GRACE SULISTIO FNP (NPI 1104440908) is an individual family provider in Boston, Massachusetts, licensed in Massachusetts (RN2330392) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104440908
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJOELLE GRACE SULISTIOCredential: FNP
Location Address732 HARRISON AVE, FL 2, PRESTON BLDGBoston, MA 02118-2309
Mailing Address960 Massachusetts Avenue, Fl 2Boston, MA 02118-2690
Phone(617) 638-7470
Fax(617) 638-7449
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 8, 2020
Last NPPES UpdateApril 10, 20245 updates tracked since enumeration
NPPES CertifiedApril 10, 2024
✔ NPI 1104440908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · RN2330392
732 HARRISON AVE, FL 2, Boston, MA 02118
Open in Google Maps ↗

Other Names 1

Former Name (1)Joelle Sulistio

Other Identifiers 2

Medicaid110164332AMA
Medicaid3136892NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Joelle Grace Sulistio Fnp 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 ID9436578036
PECOS Enrollment IDI20201001000588
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
53 services50 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ASEM H ALI MD / MBBS
Internal Medicine (Endocrinology, Diabetes & Metabolism)
732 HARRISON AVE, FL 2, PRESTON BLDG, ENDOCRINOLOGY
BOSTON, MA 02118
Suffolk County (617) 638-7470
TINA YIU FNP
Nurse Practitioner (Family)
732 HARRISON AVE, FL 2, PRESTON BLDG
BOSTON, MA 02118
Suffolk County (617) 638-7470
DR. KATHRYN L. FANTASIA M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
732 HARRISON AVE, FL 2, PRESTON BLDG
BOSTON, MA 02118
Suffolk County (617) 638-7470
DR. SUSANA ADELA EBNER M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
732 HARRISON AVE, FL 2, PRESTON BLDG, ENDOCRINOLOGY
BOSTON, MA 02118
Suffolk County (617) 638-7470
MIRIAN TORBADO BARRIENTOS NP, MSN, MPH
Nurse Practitioner (Gerontology)
732 HARRISON AVE, FL 2, PRESTON BLDG
BOSTON, MA 02118
Suffolk County (617) 638-7470
SUN Y LEE M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
732 HARRISON AVE, FL 2, PRESTON BLDG
BOSTON, MA 02118
Suffolk County (617) 638-7470
DENISE H. WONG M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
732 HARRISON AVE, FL 2, PRESTON BLDG
BOSTON, MA 02118
Suffolk County (617) 638-7470
DR. ERIC D. NOLEN-DOERR M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
732 HARRISON AVE, FL 2, PRESTON BLDG
BOSTON, MA 02118
Suffolk County (617) 638-7470

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 Joelle Sulistio's NPI number?

The NPI number for Joelle Sulistio is 1104440908. It was assigned to this individual provider in the NPPES registry on June 8, 2020.

Where is Joelle Sulistio located?

Joelle Sulistio practices at 732 Harrison Ave, Fl 2 Preston Bldg, Boston, MA 02118. The listed phone number is (617) 638-7470.

What is Joelle Sulistio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Joelle Sulistio enrolled in Medicare?

Yes. Joelle Sulistio 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.

What insurance does Joelle Sulistio accept?

Health plans from Anthem Blue Cross and Blue Shield list Joelle Sulistio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joelle Sulistio affiliated with any hospitals?

According to CMS data, Joelle Sulistio is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Joelle Sulistio was last updated on April 10, 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.