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MS. JOSEPHINE MAGPANTAY GAVIOLA FNP-BC, MSN-ED
NPI 1194189902
Nurse Practitioner - Family in Medford, MA

Active since April 07, 2016PECOS EnrolledAccepts Medicare Assignment
101 MAIN ST STE 116, MEDFORD, MA 02155(781) 391-2121(781) 391-3911 Get Directions Write a Review

NPPES record last updated: February 22, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Josephine Magpantay Gaviola Fnp-bc, Msn-ed NPPES

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

MS. JOSEPHINE MAGPANTAY GAVIOLA FNP-BC, MSN-ED (NPI 1194189902) is an individual family provider in Medford, Massachusetts, licensed in Massachusetts (RN247335) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Melrosewakefield Healthcare, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1194189902
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. JOSEPHINE MAGPANTAY GAVIOLACredential: FNP-BC, MSN-ED
Location Address101 MAIN ST STE 116Medford, MA 02155-4530
Mailing Address101 Main St Ste 116Medford, MA 02155-4530 · (781) 391-2121 · Fax (781) 391-3911
Phone(781) 391-2121
Fax(781) 391-3911
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 7, 2016
Last NPPES UpdateFebruary 22, 2018
✔ NPI 1194189902 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 · RN247335
101 MAIN ST STE 116, Medford, MA 02155
Open in Google Maps ↗

Accepted Insurance

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

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

Ms. Josephine Magpantay Gaviola Fnp-bc, Msn-ed 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 ID6608169487
PECOS Enrollment IDI20160801002777
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 Josephine Gaviola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hallmark Health Medical Associates Inc
0.7 mi
Family Medicine
170 GOVERNORS AVE, ATTN: PROVIDER ENROLLMENT
Medford, MA 02155
  • Reassigned Medicare billing, Massachusetts enrollment
  • 246 clinicians in this Medicare group
NPI 1770563900 (781) 338-7521

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

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.
430 services64 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
82 services48 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.
54 services38 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
51 services30 patients

Hospital Affiliations CMS Care Compare

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

Melrosewakefield Healthcare

Acute Care Hospitals · Melrose, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220070
Location585 Lebanon StreetMelrose, MA 02176 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02155 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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$60.68 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$15.76 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.

SAMEER GAONKAR MD
Internal Medicine
101 MAIN ST STE 116
MEDFORD, MA 02155
Middlesex County (781) 620-4894
BRITTANY PASKAL NP
Nurse Practitioner (Family)
101 MAIN ST STE 116
MEDFORD, MA 02155
Middlesex County (781) 396-2000
DR. JONATHAN D. ROTHBERG M.D.
Internal Medicine
101 MAIN ST STE 116
MEDFORD, MA 02155
Middlesex County (781) 396-2000

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 Josephine Gaviola's NPI number?

The NPI number for Josephine Gaviola is 1194189902. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Josephine Gaviola located?

Josephine Gaviola practices at 101 Main St Ste 116, Medford, MA 02155. The listed phone number is (781) 391-2121.

What is Josephine Gaviola's specialty?

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

Is Josephine Gaviola enrolled in Medicare?

Yes. Josephine Gaviola 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 Josephine Gaviola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Josephine Gaviola reassigns Medicare benefits to Hallmark Health Medical Associates Inc (Medford, 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 Josephine Gaviola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Josephine Gaviola accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Josephine Gaviola 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 Josephine Gaviola affiliated with any hospitals?

According to CMS data, Josephine Gaviola is affiliated with Melrosewakefield Healthcare.

When was this NPI record last updated?

The NPPES record for Josephine Gaviola was last updated on February 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.