TRISTAN ISACKSEN NP
NPI 1376419283
Nurse Practitioner - Psychiatric/Mental Health in Boston, MA

Q: What is Tristan Isacksen's NPI number?

The NPI number for Tristan Isacksen is 1376419283. It was assigned to this individual provider in the NPPES registry on October 16, 2025.

Q: What is Tristan Isacksen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Tristan Isacksen was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 16, 2025PECOS Enrolled

186 LINCOLN ST STE 214, BOSTON, MA 02111(212) 203-1773(646) 665-4427 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tristan Isacksen Np NPPES

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

TRISTAN ISACKSEN NP (NPI 1376419283) is an individual psychiatric/mental health provider in Boston, Massachusetts, licensed in Massachusetts (APRN10005192) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1376419283

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameTRISTAN ISACKSENCredential: NP

Location Address186 LINCOLN ST STE 214Boston, MA 02111-2403

Mailing Address274 Madison Ave Rm 1501New York, NY 10016-0701 · (212) 203-1773 · Fax (646) 665-4427

Phone(212) 203-1773

Fax(646) 665-4427

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 16, 2025

Last NPPES UpdateDecember 8, 2025

NPPES CertifiedDecember 8, 2025

✔ NPI 1376419283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MA · APRN10005192

186 LINCOLN ST STE 214, Boston, MA 02111

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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)

Tristan Isacksen Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507350691

PECOS Enrollment IDI20251216002559

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02111 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.

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 Tristan Isacksen's NPI number?

The NPI number for Tristan Isacksen is 1376419283. It was assigned to this individual provider in the NPPES registry on October 16, 2025.

Where is Tristan Isacksen located?

Tristan Isacksen practices at 186 Lincoln St Ste 214, Boston, MA 02111. The listed phone number is (212) 203-1773.

What is Tristan Isacksen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tristan Isacksen enrolled in Medicare?

Yes. Tristan Isacksen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tristan Isacksen was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.