MRS. ALEXANDRA CATHERINE DISTASO FNP-BC
NPI 1710367560
Nurse Practitioner - Family in Boston, MA

NPI Status: Active since June 08, 2015

Contact Information

450 BROOKLINE AVE
BOSTON, MA
ZIP 02215
Phone: (617) 632-4218
Fax: (617) 632-6624

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Nurse Practitioner
Family
PECOS Enrolled

About ALEXANDRA DISTASO

This page provides the complete NPI Profile along with additional information for Alexandra Distaso, a provider established in Boston, Massachusetts with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1710367560 assigned on June 2015. The practitioner's primary taxonomy code is 363LF0000X with license number RN2280088 (MA). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI: 1710367560
Provider Name: MRS. ALEXANDRA CATHERINE DISTASO FNP-BC
Other Name: MS. ALEXANDRA CATHERINE MULLOY FNP-BC
Other Name Type: Former Name (1)
Gender: Female
Entity Type: Individual
Location Address: 450 BROOKLINE AVE BOSTON, MA 02215
Location Phone: (617) 632-4218
Location Fax: (617) 632-6624
Mailing Address: 450 BROOKLINE AVE BOSTON, MA 02215
Mailing Phone: (617) 632-4218
Mailing Fax: (617) 632-6624
Is Sole Proprietor?: No
Enumeration Date: 06-08-2015
Last Update Date: 05-06-2020
Code Navigator

A nurse practitioner (NP) like Alexandra Distaso is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Nurse Practitioner Family
Taxonomy Code: 363LF0000X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: RN2280088
License State: MA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
110105490A	MEDICAID (05)	MA

Medicare Participation & PECOS Enrollment Status

Alexandra Distaso is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 02215 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $97.64
Minimum New Patient Price $63.72
Maximum New Patient Price $189.86

Average New Patient Copayment $24.41
Minimum New Patient Copayment $15.93
Maximum New Patient Copayment $47.46

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $111.18
Minimum Established Patient Price $21.07
Maximum Established Patient Price $155.29

Average Established Patient Copayment $27.79
Minimum Established Patient Copayment $5.26
Maximum Established Patient Copayment $38.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	1	0	3	6	7	5	6	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	2	0	6	6	14	5	12
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 6 + 6 + 1 + 4 + 5 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1710367560 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

DR. RACHEL ANN FREEDMAN M.D.

Internal Medicine

450 BROOKLINE AVE
BOSTON, MA
ZIP 02215

About ALEXANDRA DISTASO

Location Map

Specialty - Primary Taxonomy

Nurse Practitioner Family

Insurance Plans Accepted

Medicare

Medicaid

Additional Identifiers

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): Yes

Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Reviews for MRS. ALEXANDRA CATHERINE DISTASO FNP-BC

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is Alexandra Distaso's NPI number?

Where is the provider located?

What is the provider's specialty?

What insurance does Alexandra Distaso accept?