KAROL VANESSA DELGADO CNP
NPI 1558854836
Nurse Practitioner - Women's Health in East Boston, MA

Active since June 11, 2018PECOS EnrolledAccepts Medicare Assignment
20 MAVERICK SQ, EAST BOSTON, MA 02128(617) 569-5800(617) 568-4418 Get Directions Write a Review

NPPES record last updated: March 17, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Karol Vanessa Delgado Cnp NPPES

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

KAROL VANESSA DELGADO CNP (NPI 1558854836) is an individual women's health provider in East Boston, Massachusetts, licensed in Massachusetts (RN2282148) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1558854836
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameKAROL VANESSA DELGADOCredential: CNP
Location Address20 MAVERICK SQEast Boston, MA 02128-2335
Mailing Address10 Gove StEast Boston, MA 02128-1920 · (617) 568-4872 · Fax (617) 568-4756
Fax(617) 568-4418
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 11, 2018
Last NPPES UpdateMarch 17, 2022
NPPES CertifiedMarch 17, 2022
✔ NPI 1558854836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in MA · RN2282148
20 MAVERICK SQ, East Boston, MA 02128

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

Karol Vanessa Delgado Cnp 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 ID143616367
PECOS Enrollment IDI20220414002109
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 Karol Delgado reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Health
10 GOVE ST
East Boston, MA 02128
  • Reassigned Medicare billing, Massachusetts enrollment
  • 577 clinicians in this Medicare group
Community Health
10 GOVE ST
East Boston, MA 02128
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: East Boston Neighborhood Health Center Corp
  • 456 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.

Hospital Affiliations CMS Care Compare

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

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02128 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.

Pharmacy (Specialty Pharmacy)
20 MAVERICK SQ
EAST BOSTON, MA 02128
Dentist (General Practice)
20 MAVERICK SQ
EAST BOSTON, MA 02128
Counselor (School)
20 MAVERICK SQ
EAST BOSTON, MA 02128
Nurse Practitioner (Family)
20 MAVERICK SQ
EAST BOSTON, MA 02128
Psychologist (Counseling)
20 MAVERICK SQ
BOSTON, MA 02128
Pharmacist
20 MAVERICK SQ
EAST BOSTON, MA 02128
Dentist (General Practice)
20 MAVERICK SQ
EAST BOSTON, MA 02128
Optometrist
20 MAVERICK SQ
EAST BOSTON, MA 02128

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 Karol Delgado's NPI number?

The NPI number for Karol Delgado is 1558854836. It was assigned to this individual provider in the NPPES registry on June 11, 2018.

Where is Karol Delgado located?

Karol Delgado practices at 20 Maverick Sq, East Boston, MA 02128. The listed phone number is (617) 569-5800.

What is Karol Delgado's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Karol Delgado enrolled in Medicare?

Yes. Karol Delgado 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 Karol Delgado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karol Delgado reassigns Medicare benefits to 2 organizations: Internal Medical Associates-Ebnhc (East Boston, MA) and Neighborhealth Corporation (East Boston, 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 Karol Delgado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karol Delgado accept?

Health plans from Anthem Blue Cross and Blue Shield list Karol Delgado 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 Karol Delgado affiliated with any hospitals?

According to CMS data, Karol Delgado is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Karol Delgado was last updated on March 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.