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NICOLE MARIE DEPACE NP
NPI 1265749618
Nurse Practitioner - Gerontology in Boston, MA

Active since September 07, 2010PECOS EnrolledAccepts Medicare Assignment
830 HARRISON AVE, MOAKLEY 3RD FLR, BOSTON, MA 02118(617) 638-6428(617) 638-5756 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Marie Depace Np NPPES

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

NICOLE MARIE DEPACE NP (NPI 1265749618) is an individual gerontology provider in Boston, Massachusetts, licensed in Massachusetts (RN281476) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1265749618
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameNICOLE MARIE DEPACECredential: NP
Location Address830 HARRISON AVE, MOAKLEY 3RD FLRBoston, MA 02118
Mailing Address960 Massachusetts Ave, Fl 2Boston, MA 02118
Phone(617) 638-6428
Fax(617) 638-5756
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 7, 2010
Last NPPES UpdateMay 20, 2026
NPPES CertifiedMay 20, 2026
✔ NPI 1265749618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MA · RN281476
830 HARRISON AVE, Boston, MA 02118
Open in Google Maps ↗

Secondary Practice Location 1

Location 1801 Massachusetts Avenue, Crosstown 2Boston, MA 02118 · Phone (617) 414-7399 · Fax (617) 414-4676

Other Identifiers 2

Medicaid3148626NH
Medicaid110094929AMA

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 Depace Np 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 ID3779761507
PECOS Enrollment IDI20110627000697
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.

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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. MAUREEN T KAVANAH M.D.
Surgery (Surgical Oncology)
830 HARRISON AVE, MOAKLEY SUITE 1200
BOSTON, MA 02118
Suffolk County (617) 638-8655
MR. DAVID M. TAUSEVICH CRNA, APRN, MS, CCRN
Nurse Anesthetist, Certified Registered
830 HARRISON AVE, SUITE 3500
BOSTON, MA 02118
Suffolk County (617) 638-8776
KARIMOT A MAKINDE FNP-C
Nurse Practitioner (Family)
830 HARRISON AVE, SUITE 1200, MOAKLEY BUILDING
BOSTON, MA 02118
Suffolk County (617) 414-7990
DR. HIROKO KUNITAKE MD
Colon & Rectal Surgery
830 HARRISON AVE, SUITE 2100
BOSTON, MA 02118
Suffolk County (617) 414-8054
DR. NAOMI KO M.D.
Internal Medicine (Medical Oncology)
830 HARRISON AVE, MOAKLEY, 3RD FLOOR
BOSTON, MA 02118
Suffolk County (617) 638-6428
DR. ANDREEA M NEGROIU M.D.
Internal Medicine (Medical Oncology)
830 HARRISON AVE, MOAKLEY, 3RD FLOOR
BOSTON, MA 02118
Suffolk County (617) 638-6428
DR. DUC BA PHAN AUD
Audiologist
830 HARRISON AVE
BOSTON, MA 02118
Suffolk County (617) 638-8124
CHRISTINE ENGLE
Nurse Practitioner (Adult Health)
830 HARRISON AVE, MOAKLEY 3RD FLOOR
BOSTON, MA 02118
Suffolk County (617) 638-6428

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 Depace's NPI number?

The NPI number for Nicole Depace is 1265749618. It was assigned to this individual provider in the NPPES registry on September 7, 2010.

Where is Nicole Depace located?

Nicole Depace practices at 830 Harrison Ave Moakley 3rd Flr, Boston, MA 02118. The listed phone number is (617) 638-6428.

What is Nicole Depace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Nicole Depace enrolled in Medicare?

Yes. Nicole Depace 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 Depace affiliated with any hospitals?

According to CMS data, Nicole Depace is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Depace was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.