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MAHALA ST PAUL NP
NPI 1174126601
Nurse Practitioner in Boston, MA

Active since November 18, 2020PECOS Enrolled
450 BROOKLINE AVE, BOSTON, MA 02215(617) 632-3000 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Mahala St Paul Np NPPES

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

MAHALA ST PAUL NP (NPI 1174126601) is an individual nurse practitioner in Boston, Massachusetts, licensed in Massachusetts (RN2293353) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174126601
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMAHALA ST PAULCredential: NP
Location Address450 BROOKLINE AVEBoston, MA 02215-5418
Mailing Address24 Rill StDorchester, MA 02125-2116 · (617) 304-7098
Phone(617) 632-3000
Sole ProprietorNo
Enumeration DateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
✔ NPI 1174126601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · RN2293353
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.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN2293353 (MA)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License RN2293353 (MA)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License RN2293353 (MA)
450 BROOKLINE AVE, Boston, MA 02215
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mahala St Paul Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02215 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 20

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

PRABHSIMRANJOT SINGH MD
Internal Medicine (Hematology & Oncology)
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 582-7956
SHAWN MAGUIRE PA-C
Physician Assistant
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 582-8487
KARINA FRANCA
Genetic Counselor, MS
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (857) 215-2285
DR. SUZANNE JAQUETH FORREST M.D.
Pediatrics (Pediatric Hematology-Oncology)
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 632-3270
LAUREN KIRITSY MSW, LCSW
Counselor (Mental Health)
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (857) 215-3448
OFIR WOLAJ MD
Internal Medicine (Hematology & Oncology)
450 BROOKLINE AVE, DANA 2058
BOSTON, MA 02215
Suffolk County (617) 632-6139
JASON BATALHA AGPCNP-BC
Nurse Practitioner
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 632-6140
FATIMA EMRAN AMIR MS, LGC
Genetic Counselor, MS
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 632-3729

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 Mahala St Paul's NPI number?

The NPI number for Mahala St Paul is 1174126601. It was assigned to this individual provider in the NPPES registry on November 18, 2020.

Where is Mahala St Paul located?

Mahala St Paul practices at 450 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 632-3000.

What is Mahala St Paul's specialty?

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

Is Mahala St Paul enrolled in Medicare?

Yes. Mahala St Paul is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mahala St Paul was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.