NICOLE MARIE ST OMER ROY MD
NPI 1861997538
Obstetrics & Gynecology in Lynn, MA
About Nicole Marie St Omer Roy Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE MARIE ST OMER ROY MD (NPI 1861997538) is an individual obstetrics & gynecology provider in Lynn, Massachusetts, licensed in Massachusetts (294956) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Nicole Marie St Omer Roy Md 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 Nicole St Omer Roy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lynn, MA 01901
- Reassigned Medicare billing, Massachusetts enrollment
- 178 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 01901 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.
LYNN, MA 01901
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 Nicole St Omer Roy's NPI number?
The NPI number for Nicole St Omer Roy is 1861997538. It was assigned to this individual provider in the NPPES registry on March 26, 2018.
Where is Nicole St Omer Roy located?
Nicole St Omer Roy practices at 269 Union St, Lynn, MA 01901. The listed phone number is (781) 581-3900.
What is Nicole St Omer Roy's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Nicole St Omer Roy enrolled in Medicare?
Yes. Nicole St Omer Roy 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 Nicole St Omer Roy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole St Omer Roy reassigns Medicare benefits to Lynn Community Health, Inc. (Lynn, 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 Nicole St Omer Roy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole St Omer Roy accept?
Health plans from Anthem Blue Cross and Blue Shield list Nicole St Omer Roy 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 Nicole St Omer Roy was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Nicole Marie St Omer Roy, MD · NPI 1861997538
Obstetrics & Gynecology physician in Lynn, Massachusetts. Individual provider, active in the CMS NPPES registry since March 26, 2018.
## Identity
- **NPI:** 1861997538 (Entity type: Individual)
- **Enumerated:** March 26, 2018
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 294956 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 269 UNION ST, Lynn, MA 01901-1314
- **Phone:** (781) 581-3900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lynn Community Health, Inc. (NPI 1013997691, Lynn, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Boston University School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** October 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1861997538) · Data from the CMS NPPES public registry.