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NICOLE MARIE CACCIOLA
NPI 1205640687
Physician Assistant in Keene, NH

Active since February 05, 2025PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: January 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 18, 2026, Mar 24, 2025, Feb 5, 2025 (3 updates tracked since 2025).

About Nicole Marie Cacciola NPPES

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

NICOLE MARIE CACCIOLA (NPI 1205640687) is an individual physician assistant in Keene, New Hampshire and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with Cheshire Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1205640687
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE MARIE CACCIOLA
Location Address580 COURT STKeene, NH 03431-1729
Mailing Address484 Josiah Bartlett RdConcord, NH 03301-5928 · (603) 491-7556
Phone(603) 354-5400
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 5, 2025
Last NPPES UpdateJanuary 18, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2026
✔ NPI 1205640687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
580 COURT ST, Keene, NH 03431
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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 and accepts Medicare assignment

Nicole Marie Cacciola 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 ID3476045113
PECOS Enrollment IDI20251120003225
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.

Hospital Affiliations CMS Care Compare

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

Cheshire Medical Center

Acute Care Hospitals · Keene, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300019
Location580 Court StreetKeene, NH 03431 · Cheshire County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03431 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
Most-billed visit code 99213
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.

CHARLOTTE MARION MAXWELL CNM
Advanced Practice Midwife
580 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-5400
LARRY R MILLER CRNA
Anesthesiology
580 COURT ST, DEPT OF ANESTHESIOLOGY
KEENE, NH 03431
Cheshire County (603) 354-5454
TASHA MARIE DUVAL DO
Obstetrics & Gynecology
580 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-5400
KATRINA M MASURE APRN
Nurse Practitioner (Family)
580 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-5400
SIVA NAGA SRINIVAS YARRARAPU
Internal Medicine
580 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-5400
TARIK M RAMAHI MD
Internal Medicine (Cardiovascular Disease)
580 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-5400
RADIOLOGY ASSOCIATES OF KEENE PC
Radiology (Diagnostic Radiology)
580 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-6580
JASON DAVIS PA-C
Physician Assistant
580 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-5400

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 Nicole Cacciola's NPI number?

The NPI number for Nicole Cacciola is 1205640687. It was assigned to this individual provider in the NPPES registry on February 5, 2025.

Where is Nicole Cacciola located?

Nicole Cacciola practices at 580 Court St, Keene, NH 03431. The listed phone number is (603) 354-5400.

What is Nicole Cacciola's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Cacciola enrolled in Medicare?

Yes. Nicole Cacciola 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.

Is Nicole Cacciola affiliated with any hospitals?

According to CMS data, Nicole Cacciola is affiliated with Cheshire Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Cacciola was last updated on January 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.