ZORNITSA K SPILKOVA
NPI 1386062925
Nurse Practitioner - Adult Health in Boston, MA

Active since April 01, 2014PECOS EnrolledAccepts Medicare Assignment
125 PARKER HILL AVE, BOSTON, MA 02120(800) 927-0002 Get Directions Write a Review

NPPES record last updated: April 4, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Zornitsa K Spilkova NPPES

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

ZORNITSA K SPILKOVA (NPI 1386062925) is an individual adult health provider in Boston, Massachusetts, licensed in Massachusetts (RN2265477) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1386062925
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameZORNITSA K SPILKOVA
Location Address125 PARKER HILL AVEBoston, MA 02120-2847
Mailing AddressPo Box 9132Brookline, MA 02446-9132
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 1, 2014
Last NPPES UpdateApril 4, 2014
✔ NPI 1386062925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MA · RN2265477
125 PARKER HILL AVE, Boston, MA 02120

Accepted Insurance

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

Zornitsa K Spilkova 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 ID648494666
PECOS Enrollment IDI20140613001273
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Zornitsa Spilkova reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
125 PARKER HILL AVE
Roxbury Crossing, MA 02120
  • Reassigned Medicare billing, Massachusetts enrollment
  • 112 clinicians in this Medicare group
Internal Medicine
330 BROOKLINE AVE
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,579 clinicians in this Medicare group
Family Medicine
2014 WASHINGTON STREET
Newton, MA 02462
  • Reassigned Medicare billing, Massachusetts enrollment
  • 992 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
14 services14 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

New England Baptist Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220088
Location125 Parker Hill AvenueBoston, MA 02120 · Suffolk County

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02120 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.

Internal Medicine
125 PARKER HILL AVE, SUITE #450
ROXBURY CROSSING, MA 02120
Internal Medicine (Cardiovascular Disease)
125 PARKER HILL AVE, STE 500
ROXBURY CROSSING, MA 02120
Physical Therapist
125 PARKER HILL AVE
ROXBURY CROSSING, MA 02120
Physical Therapist
125 PARKER HILL AVE, CONVERSE 6 PT GYM
ROXBURY CROSSING, MA 02120
Nurse Anesthetist, Certified Registered
125 PARKER HILL AVE
BOSTON, MA 02120
Neurological Surgery
125 PARKER HILL AVE, CONVERSE 5
ROXBURY CROSSING, MA 02120
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
125 PARKER HILL AVE, CONVERSE 4
BOSTON, MA 02120
Internal Medicine (Cardiovascular Disease)
125 PARKER HILL AVE, FOGG 430
ROXBURY CROSSING, MA 02120

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 Zornitsa Spilkova's NPI number?

The NPI number for Zornitsa Spilkova is 1386062925. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Where is Zornitsa Spilkova located?

Zornitsa Spilkova practices at 125 Parker Hill Ave, Boston, MA 02120. The listed phone number is (800) 927-0002.

What is Zornitsa Spilkova's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Zornitsa Spilkova enrolled in Medicare?

Yes. Zornitsa Spilkova 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 organizations bill Medicare for Zornitsa Spilkova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zornitsa Spilkova reassigns Medicare benefits to 3 organizations: New England Baptist Medical Associates, Inc. (Roxbury Crossing, MA), Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA) and Mass General Brigham Medical Group Suburban Massachusetts Inc (Newton, MA). 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 Zornitsa Spilkova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zornitsa Spilkova accept?

Health plans from Taro Health list Zornitsa Spilkova 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.

Is Zornitsa Spilkova affiliated with any hospitals?

According to CMS data, Zornitsa Spilkova is affiliated with Massachusetts General Hospital, New England Baptist Hospital, Newton-Wellesley Hospital and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Zornitsa Spilkova was last updated on April 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.