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ROKHAYA LY BSN MSN AGNP
NPI 1134938129
Nurse Practitioner in Holliston, MA

Active since January 03, 2025PECOS EnrolledAccepts Medicare Assignment
8 HIAWATHA TRL, HOLLISTON, MA 01746(603) 512-5659 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 25, 2025, Jan 3, 2025 (2 updates tracked since 2025).

About Rokhaya Ly Bsn Msn Agnp NPPES

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

ROKHAYA LY BSN MSN AGNP (NPI 1134938129) is an individual nurse practitioner in Holliston, Massachusetts, licensed in Massachusetts (RN2310857) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1134938129
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameROKHAYA LYCredential: BSN MSN AGNP
Location Address8 HIAWATHA TRLHolliston, MA 01746-3320
Mailing Address588 Knollwood DrWoonsocket, RI 02895-2631 · (401) 579-3471
Phone(603) 512-5659
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 3, 2025
Last NPPES UpdateNovember 25, 20252 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
✔ NPI 1134938129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in MA · RN2310857✔ Licensed in RI · APRN04387
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.
8 HIAWATHA TRL, Holliston, MA 01746
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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

Rokhaya Ly Bsn Msn Agnp 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 ID2163950270
PECOS Enrollment IDI20250116001212
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.

Medicare Billing Reassignment

Medicare enrollment records show Rokhaya Ly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Maestro Medical Group, PLLC
Same address
Adult Medicine
8 HIAWATHA TRL
Holliston, MA 01746
  • Reassigned Medicare billing, Rhode Island enrollment
  • 3 clinicians in this Medicare group
NPI 1275367591 (603) 512-5659

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01746 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 5

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

MAESTRO MEDICAL GROUP, PLLC
Family Medicine (Adult Medicine)
8 HIAWATHA TRL
HOLLISTON, MA 01746
Middlesex County (603) 512-5659
MASSACHUSETTS SPECIAL CARE AND ASSOCIATION
In Home Supportive Care
8 HIAWATHA TRL
HOLLISTON, MA 01746
Middlesex County (603) 512-5659
ROSELINE KONG TABE RN,BSN
Nurse Practitioner (Psychiatric/Mental Health)
8 HIAWATHA TRL
HOLLISTON, MA 01746
Middlesex County (301) 404-7602
NEW ENGLAND POST-ACUTE MEDICAL GROUP PLLC
Family Medicine
8 HIAWATHA TRL
HOLLISTON, MA 01746
Middlesex County (603) 512-5659
DR. JULIUS TANYI V TABE M.D
Family Medicine
8 HIAWATHA TRL
HOLLISTON, MA 01746
Middlesex County (240) 425-2240

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 Rokhaya Ly's NPI number?

The NPI number for Rokhaya Ly is 1134938129. It was assigned to this individual provider in the NPPES registry on January 3, 2025.

Where is Rokhaya Ly located?

Rokhaya Ly practices at 8 Hiawatha Trl, Holliston, MA 01746. The listed phone number is (603) 512-5659.

What is Rokhaya Ly's specialty?

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

Is Rokhaya Ly enrolled in Medicare?

Yes. Rokhaya Ly 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 Rokhaya Ly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rokhaya Ly reassigns Medicare benefits to Maestro Medical Group, PLLC (Holliston, 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 Rokhaya Ly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rokhaya Ly was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.