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DR. MICHELLE LYNN NIESCIERENKO M.D.
NPI 1295902567
Pediatrics - Pediatric Emergency Medicine in Boston, MA

Active since May 14, 2008PECOS Enrolled
300 LONGWOOD AVE, DIVISION OF EMERGENCY MEDICINE, BOSTON, MA 02115(617) 355-6624 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1295902567
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDR. MICHELLE LYNN NIESCIERENKOCredential: M.D.
Location Address300 LONGWOOD AVE, DIVISION OF EMERGENCY MEDICINEBoston, MA 02115-5724
Mailing Address300 Longwood Ave, Division Of Emergency MedicineBoston, MA 02115-5724 · (617) 355-6624
Phone(617) 355-6624
Sole ProprietorNo
Enumeration DateMay 14, 2008
Last NPPES UpdateNovember 10, 2020
NPPES CertifiedNovember 10, 2020
✔ NPI 1295902567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in MA · 238421
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 229429 (MA)
300 LONGWOOD AVE, Boston, MA 02115
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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 (PECOS)

Dr. Michelle Lynn Niescierenko M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

JULIE ANN HANSEN LCSW
Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (857) 218-4309
MS. ANNA ROGLIERI
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
STEPHEN G. FLYNN M.D.
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
MISS LAUREN ASHLEY MASTERSON P.T., D.P.T
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-7216
MS. SOYUN KWAN LICSW
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Suffolk County (617) 355-0567
PUJA BANKA M.D.
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Suffolk County (617) 355-6363
MR. COURTNEY SULLIVAN FRATTO CPNP
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Suffolk County (857) 218-4085
DR. ELIZABETH S TAGLAUER M.D., PH.D.
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000

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.

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.