MARY POULIAS MITCHELL NP-C
NPI 1639628753
Nurse Practitioner - Family in Holden, MA

Active since September 30, 2016PECOS EnrolledAccepts Medicare Assignment
64 BOYDEN RD, HOLDEN, MA 01520(508) 829-6765(978) 840-1680 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 23, 2026, Nov 4, 2025, May 13, 2025 and 2 more (5 updates tracked since 2016).

About Mary Poulias Mitchell Np-c NPPES

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

MARY POULIAS MITCHELL NP-C (NPI 1639628753) is an individual family provider in Holden, Massachusetts, licensed in Massachusetts (RN2280889) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Worcester, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1639628753
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY POULIAS MITCHELLCredential: NP-C
Location Address64 BOYDEN RDHolden, MA 01520-2570
Mailing Address5 Neponset StWorcester, MA 01606-2714 · (508) 368-5532
Fax(978) 840-1680
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 30, 2016
Last NPPES UpdateJanuary 23, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
NPI 1639628753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MA · RN2280889
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License RN2280889 (MA)
64 BOYDEN RD, Holden, MA 01520

Other Names 1

Former Name (1)Mary L. Poulias Np-c

Secondary Practice Location 1

Location 1Grace Riley Aesthetics, 409 Shrewsbury Streetworcester, MA 01604 · Phone (508) 508-7965 · Fax (833) 635-6680

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

Mary Poulias Mitchell Np-c 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 ID9436430618
PECOS Enrollment IDI20161230000099
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 2

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.

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.
41 services35 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01520 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 19

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

Nurse Practitioner (Pediatrics)
64 BOYDEN RD
HOLDEN, MA 01520
Family Medicine
64 BOYDEN RD
HOLDEN, MA 01520
Nurse Practitioner (Family)
64 BOYDEN RD
HOLDEN, MA 01520
Clinical Medical Laboratory
64 BOYDEN RD
HOLDEN, MA 01520
Nurse Practitioner (Family)
64 BOYDEN RD
HOLDEN, MA 01520
Nurse Practitioner (Family)
64 BOYDEN RD
HOLDEN, MA 01520
Physician Assistant (Medical)
64 BOYDEN RD
HOLDEN, MA 01520
Nurse Practitioner (Family)
64 BOYDEN RD
HOLDEN, MA 01520

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 Mary Mitchell's NPI number?

The NPI number for Mary Mitchell is 1639628753. It was assigned to this individual provider in the NPPES registry on September 30, 2016. The provider is also known as Mary L. Poulias Np-C.

Where is Mary Mitchell located?

Mary Mitchell practices at 64 Boyden Rd, Holden, MA 01520. The listed phone number is (508) 829-6765.

What is Mary Mitchell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Mitchell enrolled in Medicare?

Yes. Mary Mitchell 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.

When was this NPI record last updated?

The NPPES record for Mary Mitchell was last updated on January 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.