1. Home
  2. Directory
  3. Massachusetts
  4. Gloucester
  5. Internal Medicine
  6. NPI Profile

NATHALIE MARIE-CARMEN CELESTIN M.D.
NPI 1528265394
Internal Medicine in Gloucester, MA

Active since June 27, 2007PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
1 BLACKBURN DR, GLOUCESTER, MA 01930(978) 281-1500(978) 282-3699 Get Directions Write a Review

NPPES record last updated: October 3, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nathalie Marie-carmen Celestin M.d. NPPES

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

NATHALIE MARIE-CARMEN CELESTIN M.D. (NPI 1528265394) is an individual internal medicine provider in Gloucester, Massachusetts, licensed in Massachusetts (238119) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Lahey Hospital & Medical Center, Burlington, and is a graduate of University Of Puerto Rico School Of Medicine (2004).

NPPES Registry Identity

NPI1528265394
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNATHALIE MARIE-CARMEN CELESTINCredential: M.D.
Location Address1 BLACKBURN DRGloucester, MA 01930-2237
Mailing Address1 Blackburn DrGloucester, MA 01930-2237 · (978) 281-1500 · Fax (978) 282-3699
Phone(978) 281-1500
Fax(978) 282-3699
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2004
Enumeration DateJune 27, 2007
Last NPPES UpdateOctober 3, 2013
✔ NPI 1528265394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 238119
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1 BLACKBURN DR, Gloucester, MA 01930
Open in Google Maps ↗

Accepted Insurance

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

Nathalie Marie-carmen Celestin M.d. 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 ID2466540737
PECOS Enrollment IDI20081114000482
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

2

Medicare enrollment records show Nathalie Celestin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Care Dimensions, Inc.
16 mi
Internal Medicine
75 SYLVAN ST STE B102
Danvers, MA 01923
  • Reassigned Medicare billing, Massachusetts enrollment
  • 64 clinicians in this Medicare group
NPI 1538712781 (888) 283-1722
Lahey Clinic, Inc
16 mi
Internal Medicine
1 ESSEX CENTER DR
Peabody, MA 01960
  • Reassigned Medicare billing, Massachusetts enrollment
  • Also billed through NPI 1538194980 (Massachusetts)
  • 1,841 clinicians in this Medicare group
NPI 1063447316 (781) 744-8000

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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
450 services177 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.
165 services83 patients
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.
73 services73 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
30 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01930 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier15 claims15 services$14.86 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$68.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

COASTAL ORTHOPEDIC ASSOCIATES INC
Orthopaedic Surgery
1 BLACKBURN DR
GLOUCESTER, MA 01930
Essex County (978) 927-3040
MR. DAVID L. PROBERT P.A.
Physician Assistant
1 BLACKBURN DR
GLOUCESTER, MA 01930
Essex County (978) 281-1500
MISS ALIA CRYSTAL MACPHERSON FNP-BC
Nurse Practitioner (Family)
1 BLACKBURN DR
GLOUCESTER, MA 01930
Essex County (978) 281-1500
NATALIE MEYER NP
Nurse Practitioner (Primary Care)
1 BLACKBURN DR
GLOUCESTER, MA 01930
Essex County (978) 281-1500
STEFANIE BELCHER
Nurse Practitioner
1 BLACKBURN DR
GLOUCESTER, MA 01930
Essex County (978) 281-1500
CHRISTINE SICARD NP
Nurse Practitioner
1 BLACKBURN DR
GLOUCESTER, MA 01930
Essex County (978) 281-1500
JANET E DORAN MD
Internal Medicine
1 BLACKBURN DR
GLOUCESTER, MA 01930
Essex County (978) 281-1500
THOMAS P SMITH MD
Internal Medicine (Hematology)
1 BLACKBURN DR
GLOUCESTER, MA 01930
Essex County (978) 281-1500

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 Nathalie Celestin's NPI number?

The NPI number for Nathalie Celestin is 1528265394. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Where is Nathalie Celestin located?

Nathalie Celestin practices at 1 Blackburn Dr, Gloucester, MA 01930. The listed phone number is (978) 281-1500.

What is Nathalie Celestin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nathalie Celestin enrolled in Medicare?

Yes. Nathalie Celestin 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 Nathalie Celestin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathalie Celestin reassigns Medicare benefits to 2 organizations: Care Dimensions, Inc. (Danvers, MA) and Lahey Clinic, Inc (Peabody, 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 Nathalie Celestin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathalie Celestin accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Nathalie Celestin 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 Nathalie Celestin affiliated with any hospitals?

According to CMS data, Nathalie Celestin is affiliated with Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Nathalie Celestin was last updated on October 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.