DR. MICHELLE LYNN NIESCIERENKO M.D.
NPI 1295902567
Pediatrics - Pediatric Emergency Medicine in Boston, MA
About Dr. Michelle Lynn Niescierenko M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHELLE LYNN NIESCIERENKO M.D. (NPI 1295902567) is an individual pediatric emergency medicine provider in Boston, Massachusetts, licensed in Massachusetts (238421) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Michelle Lynn Niescierenko M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Michelle Niescierenko reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 1,358 clinicians in this Medicare group
Belcourt, ND 58316
- Reassigned Medicare billing, Texas enrollment
- 193 clinicians in this Medicare group
Eagle Butte, SD 57625
- Reassigned Medicare billing, Texas enrollment
- 282 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.
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.
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
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 Michelle Niescierenko's NPI number?
The NPI number for Michelle Niescierenko is 1295902567. It was assigned to this individual provider in the NPPES registry on May 14, 2008.
Where is Michelle Niescierenko located?
Michelle Niescierenko practices at 300 Longwood Ave Division Of Emergency Medicine, Boston, MA 02115. The listed phone number is (617) 355-6624.
What is Michelle Niescierenko's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Michelle Niescierenko enrolled in Medicare?
Yes. Michelle Niescierenko is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Michelle Niescierenko's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Niescierenko reassigns Medicare benefits to 3 organizations: Children's Hospital Pediatric Associates, Inc (Boston, MA), Quentin N Burdick Comprehensive Health Care Facility (Belcourt, ND) and Eagle Butte Indian Health Service Hospital (Eagle Butte, SD). 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 Michelle Niescierenko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michelle Niescierenko accept?
Health plans from Blue Cross Blue Shield of North Dakota and Taro Health list Michelle Niescierenko 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.
When was this NPI record last updated?
The NPPES record for Michelle Niescierenko was last updated on November 10, 2020. 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.
# Dr. Michelle Lynn Niescierenko, M.D. · NPI 1295902567
Pediatric Emergency Medicine physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since May 14, 2008.
## Identity
- **NPI:** 1295902567 (Entity type: Individual)
- **Enumerated:** May 14, 2008
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** 238421 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 LONGWOOD AVE, DIVISION OF EMERGENCY MEDICINE, Boston, MA 02115-5724
- **Phone:** (617) 355-6624
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Children's Hospital Pediatric Associates, Inc (NPI 1457306664, Boston, MA); Quentin N Burdick Comprehensive Health Care Facility (NPI 1952346934, Belcourt, ND); Eagle Butte Indian Health Service Hospital (NPI 1558395848, Eagle Butte, SD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 10, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1295902567) · Data from the CMS NPPES public registry.