ERIC ELIE WAKIM FNP-BC
NPI 1770399412
Nurse Practitioner - Family in Boston, MA
About Eric Elie Wakim Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERIC ELIE WAKIM FNP-BC (NPI 1770399412) is an individual family provider in Boston, Massachusetts, licensed in Massachusetts (RN2335200) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
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 (PECOS)
Eric Elie Wakim Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Eric Wakim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 34 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 02115 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
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 Eric Wakim's NPI number?
The NPI number for Eric Wakim is 1770399412. It was assigned to this individual provider in the NPPES registry on December 7, 2024.
Where is Eric Wakim located?
Eric Wakim practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.
What is Eric Wakim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Eric Wakim enrolled in Medicare?
Yes. Eric Wakim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Eric Wakim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eric Wakim reassigns Medicare benefits to Boston Pediatric Neurosurgical Foundation, Inc. (Boston, MA). 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 Eric Wakim'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 Eric Wakim was last updated on December 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Eric Elie Wakim, FNP-BC · NPI 1770399412
Family physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since December 7, 2024.
## Identity
- **NPI:** 1770399412 (Entity type: Individual)
- **Enumerated:** December 7, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN2335200 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 LONGWOOD AVE, Boston, MA 02115-5724
- **Phone:** (617) 355-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Boston Pediatric Neurosurgical Foundation, Inc. (NPI 1871523753, Boston, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** December 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1770399412) · Data from the CMS NPPES public registry.