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MR. GIANCARLO D ZOLFONOON PMHNP
NPI 1184394967
Nurse Practitioner - Psychiatric/Mental Health in Brockton, MA

Active since September 14, 2021PECOS EnrolledAccepts Medicare Assignment
165 QUINCY ST, BROCKTON, MA 02302(508) 897-2058(508) 897-2223 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 24, 2023, Dec 20, 2021, Sep 14, 2021 (3 updates tracked since 2021).

About Mr. Giancarlo D Zolfonoon Pmhnp NPPES

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

MR. GIANCARLO D ZOLFONOON PMHNP (NPI 1184394967) is an individual psychiatric/mental health provider in Brockton, Massachusetts, licensed in Massachusetts (RN2270000) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bedford, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1184394967
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. GIANCARLO D ZOLFONOONCredential: PMHNP
Location Address165 QUINCY STBrockton, MA 02302-2988
Mailing Address400 Harvard St Apt 1Boston, MA 02124-2716 · (617) 797-4209
Phone(508) 897-2058
Fax(508) 897-2223
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 14, 2021
Last NPPES UpdateMay 23, 20243 updates tracked since enumeration
NPPES CertifiedMay 23, 2024
✔ NPI 1184394967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · RN2270000
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
165 QUINCY ST, Brockton, MA 02302
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Secondary Practice Location 1

Location 1200 Springs RdBedford, MA 01730-1114 · Phone (781) 687-2000 · Fax (781) 687-2565

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

Mr. Giancarlo D Zolfonoon Pmhnp 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 ID2860860582
PECOS Enrollment IDI20221130000263
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 3

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
203 services34 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.
49 services20 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
28 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02302 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

FELIPE DURAND LICSW
Social Worker (Clinical)
165 QUINCY ST
BROCKTON, MA 02302
Plymouth County (508) 897-2100
JACKI M BOSWELL LMHC
Counselor (Mental Health)
165 QUINCY ST
BROCKTON, MA 02302
Plymouth County (508) 897-2088
BROCKTON MULTI SERVICE
Clinic/Center (Mental Health (Including Community Mental Health Center))
165 QUINCY ST
BROCKTON, MA 02302
Plymouth County (508) 897-2166
MRS. LAURA LYNN KRIM MSW, LICSW
Social Worker
165 QUINCY ST
BROCKTON, MA 02302
Plymouth County (508) 897-2000
BROCKTON MULTI SERVICE
Counselor (Mental Health)
165 QUINCY ST, DMH
BROCKTON, MA 02302
Plymouth County (508) 897-2000
COMMONWEALTH OF MA, D/B/A BROCKTON MULTI-SERVICE CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
165 QUINCY ST
BROCKTON, MA 02302
Plymouth County (508) 897-2000
HOLLY CALAMESE-GRAZETTE LICSW
Social Worker (Clinical)
165 QUINCY ST
BROCKTON, MA 02302
Plymouth County (508) 897-2056
MRS. JUDITH S CASSARA MSW
Social Worker (Clinical)
165 QUINCY ST
BROCKTON, MA 02302
Plymouth County (508) 897-2088

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 Giancarlo Zolfonoon's NPI number?

The NPI number for Giancarlo Zolfonoon is 1184394967. It was assigned to this individual provider in the NPPES registry on September 14, 2021.

Where is Giancarlo Zolfonoon located?

Giancarlo Zolfonoon practices at 165 Quincy St, Brockton, MA 02302. The listed phone number is (508) 897-2058.

What is Giancarlo Zolfonoon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Giancarlo Zolfonoon enrolled in Medicare?

Yes. Giancarlo Zolfonoon 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.

When was this NPI record last updated?

The NPPES record for Giancarlo Zolfonoon was last updated on May 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.