NIKOLE BOSTON LCSW
NPI 1720599434
Social Worker - Clinical in Shade Gap, PA
About Nikole Boston Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIKOLE BOSTON LCSW (NPI 1720599434) is an individual clinical provider in Shade Gap, Pennsylvania, licensed in Pennsylvania (CW019868) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 2
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
Nikole Boston Lcsw 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.
Medicare Billing Reassignment
Medicare enrollment records show Nikole Boston reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Shade Gap, PA 17255
- Reassigned Medicare billing, Pennsylvania enrollment
- 4 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17255 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nikole Boston's NPI number?
The NPI number for Nikole Boston is 1720599434. It was assigned to this individual provider in the NPPES registry on October 20, 2017.
Where is Nikole Boston located?
Nikole Boston practices at 11891 Neelyton Rd, Shade Gap, PA 17255. The listed phone number is (717) 489-2949.
What is Nikole Boston's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Nikole Boston enrolled in Medicare?
Yes. Nikole Boston 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 organization bills Medicare for Nikole Boston's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nikole Boston reassigns Medicare benefits to The Mindful Oasis Co. (Shade Gap, PA). The 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 Nikole Boston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nikole Boston was last updated on August 4, 2021. 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.
# Nikole Boston, LCSW · NPI 1720599434
Clinical provider in Shade Gap, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 20, 2017.
## Identity
- **NPI:** 1720599434 (Entity type: Individual)
- **Enumerated:** October 20, 2017
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** CW019868 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 11891 NEELYTON RD, Shade Gap, PA 17255-9247
- **Phone:** (717) 489-2949
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** The Mindful Oasis Co. (NPI 1225703226, Shade Gap, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** August 4, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1720599434) · Data from the CMS NPPES public registry.