NICOLE MODZELEWSKI
NPI 1508435884
Physician Assistant in Boston, MA

Q: What is Nicole Modzelewski's NPI number?

The NPI number for Nicole Modzelewski is 1508435884. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Q: What is Nicole Modzelewski's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since June 22, 2021PECOS EnrolledAccepts Medicare Assignment

125 PARKER HILL AVE STE 2, BOSTON, MA 02120(617) 754-5000 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Nicole Modzelewski NPPES

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

NICOLE MODZELEWSKI (NPI 1508435884) is an individual physician assistant in Boston, Massachusetts and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and maintains a secondary practice location in Chicopee.

NPPES Registry Identity

NPI1508435884

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameNICOLE MODZELEWSKI

Location Address125 PARKER HILL AVE STE 2Boston, MA 02120-2865

Mailing Address153 Delaney AveChicopee, MA 01013-1311 · (413) 426-3651

Phone(617) 754-5000

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJune 22, 2021

NPPES CertifiedJune 22, 2021

✔ NPI 1508435884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

125 PARKER HILL AVE STE 2, Boston, MA 02120

Open in Google Maps ↗

Secondary Practice Location 1

Location 1153 Delaney AveChicopee, MA 01013-1311 · Phone (413) 426-3651

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Nicole Modzelewski 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 ID5193173177

PECOS Enrollment IDI20231201000479

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.

Hospital Affiliations CMS Care Compare 3

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

Cooley Dickinson Hospital Inc,the

Acute Care Hospitals · Northampton, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220015

Location30 Locust StreetNorthampton, MA 01060 · Hampshire County

Emergency services Birthing friendly

Baystate Wing Hospital

Acute Care Hospitals · Palmer, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220030

Location40 Wright StreetPalmer, MA 01069 · Hampden County

Emergency services

Baystate Medical Center

Acute Care Hospitals · Springfield, MA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220077

Location759 Chestnut StreetSpringfield, MA 01199 · Hampden 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

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

Most-billed visit code 99213

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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AGGIE J SUTHERLAND

Nurse Practitioner