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ALBERT J PROIA FNP
NPI 1134613185
Nurse Practitioner - Family in Boston, MA

Active since June 21, 2018PECOS EnrolledAccepts Medicare Assignment
84 STATE ST STE 660, BOSTON, MA 02109(800) 370-3651 Get Directions Write a Review

NPPES record last updated: December 26, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 26, 2018, Jul 25, 2018, Jun 21, 2018 (3 updates tracked since 2018).

About Albert J Proia Fnp NPPES

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

ALBERT J PROIA FNP (NPI 1134613185) is an individual family provider in Boston, Massachusetts, licensed in Massachusetts (RN2287796) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Cape Cod Hospital, and maintains a secondary practice location in Bangor.

NPPES Registry Identity

NPI1134613185
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameALBERT J PROIACredential: FNP
Location Address84 STATE ST STE 660Boston, MA 02109
Mailing Address100 Main StWellfleet, MA 02667-7434
Phone(800) 370-3651
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJune 21, 2018
Last NPPES UpdateDecember 26, 20183 updates tracked since enumeration
✔ NPI 1134613185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · RN2287796
Also ListedNurse PractitionerTaxonomy 363L00000X · License CNP181031 (ME)
84 STATE ST STE 660, Boston, MA 02109
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Northeast DrBangor, ME 04401 · Phone (207) 275-3800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.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

Albert J Proia 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 ID4082962717
PECOS Enrollment IDI20190201001063
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 4

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
2,434 services367 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
314 services221 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
105 services95 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
94 services92 patients

Hospital Affiliations CMS Care Compare

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

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220012
Location27 Park StreetHyannis, MA 02601 · Barnstable County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02109 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$46.39 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier13 claims13 services$16.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

DEBORAH M. MOORE CNP
Nurse Practitioner
84 STATE ST STE 660
BOSTON, MA 02109
Suffolk County (800) 370-3651
MS. KATHLEEN ANNE BURKE
Social Worker (Clinical)
84 STATE ST STE 660
BOSTON, MA 02109
Suffolk County (800) 370-3651
YUAN JIA NP
Nurse Practitioner
84 STATE ST STE 660
BOSTON, MA 02109
Suffolk County (800) 370-3651

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 Albert Proia's NPI number?

The NPI number for Albert Proia is 1134613185. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Where is Albert Proia located?

Albert Proia practices at 84 State St Ste 660, Boston, MA 02109. The listed phone number is (800) 370-3651.

What is Albert Proia's specialty?

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

Is Albert Proia enrolled in Medicare?

Yes. Albert Proia 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 Albert Proia accept?

Health plans from WellSense Health Plan list Albert Proia 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 Albert Proia affiliated with any hospitals?

According to CMS data, Albert Proia is affiliated with Cape Cod Hospital.

When was this NPI record last updated?

The NPPES record for Albert Proia was last updated on December 26, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.