MRS. NICOLE CARVILLE-AUTRY N.P.
NPI 1427239912
Nurse Practitioner - Adult Health in Boston, MA

Q: What is Nicole Carville-autry's NPI number?

The NPI number for Nicole Carville-autry is 1427239912. It was assigned to this individual provider in the NPPES registry on November 26, 2007.

Q: What is Nicole Carville-autry's specialty?

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

Active since November 26, 2007PECOS EnrolledAccepts Medicare Assignment

30 NORTHAMPTON ST, BOSTON, MA 02118(617) 433-9601(617) 445-6538 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Nicole Carville-autry N.p. NPPES

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

MRS. NICOLE CARVILLE-AUTRY N.P. (NPI 1427239912) is an individual adult health provider in Boston, Massachusetts, licensed in Massachusetts (2007005182-21) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Massachusetts Medical School (2007).

NPPES Registry Identity

NPI1427239912

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. NICOLE CARVILLE-AUTRYCredential: N.P.

Location Address30 NORTHAMPTON STBoston, MA 02118-4098

Mailing Address73 Mount Wayte Ave Ste 4Framingham, MA 01702-5803 · (508) 250-0770 · Fax (617) 457-3135

Phone(617) 433-9601

Fax(617) 445-6538

Sole ProprietorNo

Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2007

Enumeration DateNovember 26, 2007

Last NPPES UpdateApril 15, 2020

NPPES CertifiedApril 15, 2020

✔ NPI 1427239912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

Licenses✔ Licensed in MA · 2007005182-21✔ Licensed in MA · 255984RN

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 2007006045-23 (MA)

30 NORTHAMPTON ST, Boston, MA 02118

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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 and accepts Medicare assignment

Mrs. Nicole Carville-autry N.p. 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 ID2769803360

PECOS Enrollment IDI20200608001733

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 02118 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.

ASHLEY RATCHFORD GILLIAM RN

Registered Nurse