MONICA VARGAS
NPI 1639623085
Nurse Practitioner in Worcester, MA

Q: What is Monica Vargas's NPI number?

The NPI number for Monica Vargas is 1639623085. It was assigned to this individual provider in the NPPES registry on August 14, 2016.

Q: What is Monica Vargas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Monica Vargas was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 14, 2016PECOS EnrolledAccepts Medicare Assignment

281 LINCOLN ST, WORCESTER, MA 01605(508) 334-5979(508) 334-6466 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 17, 2020, Mar 9, 2018, Aug 14, 2016 (3 updates tracked since 2016).

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About Monica Vargas NPPES

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

MONICA VARGAS (NPI 1639623085) is an individual nurse practitioner in Worcester, Massachusetts, licensed in Massachusetts (RN285181) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1639623085

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMONICA VARGAS

Location Address281 LINCOLN STWorcester, MA 01605-2138

Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977

Phone(508) 334-5979

Fax(508) 334-6466

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 14, 2016

Last NPPES UpdateNovember 17, 20203 updates tracked since enumeration

NPPES CertifiedNovember 17, 2020

✔ NPI 1639623085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MA · RN285181

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

281 LINCOLN ST, Worcester, MA 01605

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Other Identifiers 1

Medicaid110120624AMA

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

Monica Vargas 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 ID9739463563

PECOS Enrollment IDI20170223000083

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.

Areas of Expertise CMS Part B claims 11

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

428 services93 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

260 services221 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

174 services143 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

152 services121 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

98 services86 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

59 services59 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

52 services52 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

47 services39 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

34 services31 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

16 services13 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

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.

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.

STACY AILEEN MEULENAERE OTR/L

Occupational Therapist

281 LINCOLN ST
WORCESTER, MA 01605

Worcester County (508) 334-1000

RACHEL NOONE PA-C

Physician Assistant

281 LINCOLN ST
WORCESTER, MA 01605

Worcester County (508) 334-6158

DR. THOMAS EVANS M.D.

Emergency Medicine

281 LINCOLN ST, MED STAFF SVCS
WORCESTER, MA 01605

Worcester County (508) 334-8015

RAJIV BALASURIYA M.D.

Family Medicine

281 LINCOLN ST, MEDICAL STAFF SVCS
WORCESTER, MA 01605

Worcester County (508) 334-8015

DR. DANIEL LEE M.D., PHD

Internal Medicine (Medical Oncology)

281 LINCOLN ST, MEDICAL STAFF SVCS
WORCESTER, MA 01605

Worcester County (508) 334-1131

MEGAN ELIZABETH KLEIN MS, CCC-SLP

Speech-Language Pathologist

281 LINCOLN ST
WORCESTER, MA 01605

Worcester County (508) 334-1000

ANKUR SHAH NARAIN MD

Orthopaedic Surgery

281 LINCOLN ST
WORCESTER, MA 01605

Worcester County (508) 334-1955

THOMAS MICHAEL CERVANTES

Plastic Surgery (Surgery of the Hand)

281 LINCOLN ST
WORCESTER, MA 01605

Worcester County (508) 334-1000

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 Monica Vargas's NPI number?

The NPI number for Monica Vargas is 1639623085. It was assigned to this individual provider in the NPPES registry on August 14, 2016.

Where is Monica Vargas located?

Monica Vargas practices at 281 Lincoln St, Worcester, MA 01605. The listed phone number is (508) 334-5979.

What is Monica Vargas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Monica Vargas enrolled in Medicare?

Yes. Monica Vargas 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.

What insurance does Monica Vargas accept?

Health plans from Anthem Blue Cross and Blue Shield list Monica Vargas 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.

When was this NPI record last updated?

The NPPES record for Monica Vargas was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.