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TY THI IANCOVICI FNP-C
NPI 1245697754
Nurse Practitioner - Family in East Boston, MA

Active since January 28, 2016PECOS EnrolledAccepts Medicare Assignment
10 GOVE ST, EAST BOSTON, MA 02128(617) 569-5800 Get Directions Write a Review

NPPES record last updated: March 26, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ty Thi Iancovici Fnp-c NPPES

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

TY THI IANCOVICI FNP-C (NPI 1245697754) is an individual family provider in East Boston, Massachusetts, licensed in Massachusetts (RN2262113) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1245697754
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTY THI IANCOVICICredential: FNP-C
Location Address10 GOVE STEast Boston, MA 02128-1920
Mailing Address10 Gove StEast Boston, MA 02128-1920 · (617) 569-5800
Phone(617) 569-5800
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 28, 2016
Last NPPES UpdateMarch 26, 2019
✔ NPI 1245697754 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 · RN2262113
10 GOVE ST, East Boston, MA 02128
Open in Google Maps ↗

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

Ty Thi Iancovici Fnp-c 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 ID3375842586
PECOS Enrollment IDI20160421002170
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 Reassignments

5

Medicare enrollment records show Ty Iancovici reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neighborhealth Corporation
Same address
Community Health
10 GOVE ST
East Boston, MA 02128
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: East Boston Neighborhood Health Center Corp
  • 456 clinicians in this Medicare group
NPI 1316994411 (617) 569-5800
Internal Medical Associates-Ebnhc
Same address
Community Health
10 GOVE ST
East Boston, MA 02128
  • Reassigned Medicare billing, Massachusetts enrollment
  • 577 clinicians in this Medicare group
NPI 1558481879 (617) 569-5800
Bmc Affiliated Physicians, Inc.
3.2 mi
Internal Medicine
1 BOSTON MEDICAL CENTER PLACE
Boston, MA 02118
  • Reassigned Medicare billing, Massachusetts enrollment
  • 716 clinicians in this Medicare group
NPI 1245320910 (617) 789-3000
Steward Emergency Physicians, Inc
31 mi
Emergency Medicine
200 GROTON RD
Ayer, MA 01432
  • Reassigned Medicare billing, Massachusetts enrollment
  • 290 clinicians in this Medicare group
NPI 1780971275 (978) 784-9000
Berkshire Faculty Services Inc
113 mi
Multi-Specialty
725 NORTH ST
Pittsfield, MA 01201
  • Reassigned Medicare billing, Massachusetts enrollment
  • 405 clinicians in this Medicare group
NPI 1548212939 (413) 447-2752

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
52 services51 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
34 services34 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
24 services24 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Good Samaritan Medical Center

Acute Care Hospitals · Brockton, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220111
Location235 North Pearl StreetBrockton, MA 02301 · Plymouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02128 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.

DR. SUTAPA GHOSH M.D.
Obstetrics & Gynecology
10 GOVE ST
EAST BOSTON, MA 02128
Suffolk County (617) 569-5800
ANU RUPA MEHRA MD
Family Medicine
10 GOVE ST
EAST BOSTON, MA 02128
Suffolk County (617) 569-5800
SHEREEN MOHIUDDIN M.D.
Family Medicine (Geriatric Medicine)
10 GOVE ST
EAST BOSTON, MA 02128
Suffolk County (617) 569-5800
DOMINIQUE CARUSO MURPHY PA-C
Physician Assistant (Medical)
10 GOVE ST
EAST BOSTON, MA 02128
Suffolk County (617) 569-5800
MS. CAITLIN R CROWLEY FNP-BC
Nurse Practitioner (Family)
10 GOVE ST
EAST BOSTON, MA 02128
Suffolk County (617) 569-5800
KARIN LESCHLY M.D.
Family Medicine
10 GOVE ST
EAST BOSTON, MA 02128
Suffolk County (617) 569-5800
LILIANA MANTILLA LMHC
Counselor (Mental Health)
10 GOVE ST
EAST BOSTON, MA 02128
Suffolk County (617) 569-5800
ARILENE I. HERNANDEZ LCSW
Social Worker (Clinical)
10 GOVE ST
EAST BOSTON, MA 02128
Suffolk County (617) 569-5800

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 Ty Iancovici's NPI number?

The NPI number for Ty Iancovici is 1245697754. It was assigned to this individual provider in the NPPES registry on January 28, 2016.

Where is Ty Iancovici located?

Ty Iancovici practices at 10 Gove St, East Boston, MA 02128. The listed phone number is (617) 569-5800.

What is Ty Iancovici's specialty?

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

Is Ty Iancovici enrolled in Medicare?

Yes. Ty Iancovici 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 organizations bill Medicare for Ty Iancovici's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ty Iancovici reassigns Medicare benefits to 5 organizations: Neighborhealth Corporation (East Boston, MA), Internal Medical Associates-Ebnhc (East Boston, MA), Bmc Affiliated Physicians, Inc. (Boston, MA), Steward Emergency Physicians, Inc (Ayer, MA) and Berkshire Faculty Services Inc (Pittsfield, MA). Each 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 Ty Iancovici's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ty Iancovici affiliated with any hospitals?

According to CMS data, Ty Iancovici is affiliated with Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Ty Iancovici was last updated on March 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.