NICOLE LYN SCOURAS FNP
NPI 1275817652
Nurse Practitioner - Family in Medford, MA
About Nicole Lyn Scouras Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE LYN SCOURAS FNP (NPI 1275817652) is an individual family provider in Medford, Massachusetts, licensed in Massachusetts (RN2264342) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
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
Nicole Lyn Scouras Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Nicole Scouras reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Medway, MA 02053
- Reassigned Medicare billing, Massachusetts enrollment
- 186 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MEDFORD, MA 02155
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 Scouras's NPI number?
The NPI number for Nicole Scouras is 1275817652. It was assigned to this individual provider in the NPPES registry on October 4, 2011.
Where is Nicole Scouras located?
Nicole Scouras practices at 85 High St, Medford, MA 02155. The listed phone number is (781) 396-4770.
What is Nicole Scouras's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nicole Scouras enrolled in Medicare?
Yes. Nicole Scouras 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 Nicole Scouras's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Scouras reassigns Medicare benefits to Minuteclinic Diagnostic Of Massachusetts LLC (Medway, 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 Nicole Scouras's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nicole Scouras was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Nicole Lyn Scouras, FNP · NPI 1275817652
Family physician in Medford, Massachusetts. Individual provider, active in the CMS NPPES registry since October 4, 2011.
## Identity
- **NPI:** 1275817652 (Entity type: Individual)
- **Enumerated:** October 4, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN2264342 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 85 HIGH ST, Medford, MA 02155-3825
- **Phone:** (781) 396-4770
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Minuteclinic Diagnostic Of Massachusetts LLC (NPI 1457470858, Medway, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** April 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1275817652) · Data from the CMS NPPES public registry.