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NICOLE C HOLGUIN M.D.
NPI 1881823169
Internal Medicine in Everett, MA

Active since July 08, 2009PECOS EnrolledAccepts Medicare Assignment
86.26/100
CMS Quality Rating
103 GARLAND ST, EVERETT, MA 02149(617) 381-5061(617) 381-5067 Get Directions Write a Review

NPPES record last updated: December 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole C Holguin M.d. NPPES

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

NICOLE C HOLGUIN M.D. (NPI 1881823169) is an individual internal medicine provider in Everett, Massachusetts, licensed in Massachusetts (256930) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Cambridge Health Alliance, and is a graduate of University Of Massachusetts Medical School (2009).

NPPES Registry Identity

NPI1881823169
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNICOLE C HOLGUINCredential: M.D.
Location Address103 GARLAND STEverett, MA 02149-5066
Mailing Address103 Garland StEverett, MA 02149-5066 · (617) 381-5061 · Fax (617) 381-5067
Phone(617) 381-5061
Fax(617) 381-5067
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2009
Enumeration DateJuly 8, 2009
Last NPPES UpdateDecember 10, 2014
✔ NPI 1881823169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 256930
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
103 GARLAND ST, Everett, MA 02149
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Other Identifiers 1

Medicaid110097602AMA

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

Nicole C Holguin M.d. 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 ID1759510662
PECOS Enrollment IDI20140218001007
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
225 services108 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
127 services122 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services15 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cambridge Health Alliance

Acute Care Hospitals · Cambridge, MA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number220011
Location1493 Cambridge StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02149 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.84
Promoting Interoperability100
Improvement Activities40
Cost58.7

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.

DMITRIY KIREYEV MD
Internal Medicine (Cardiovascular Disease)
103 GARLAND ST
EVERETT, MA 02149
Middlesex County (781) 394-7731
EDWARD M. MONROE LICSW
Social Worker (Clinical)
103 GARLAND ST
EVERETT, MA 02149
Middlesex County (617) 394-7689
CAMBRIDGE PUBLIC HEALTH COMMISSION
General Acute Care Hospital
103 GARLAND ST
EVERETT, MA 02149
Middlesex County (617) 389-6270
MS. KATHLEEN ANN MAGUIRE R.N.
Registered Nurse
103 GARLAND ST, EAST 3
EVERETT, MA 02149
Middlesex County (617) 389-2727
JOANNE CAROL AGNES RN,AD
Registered Nurse
103 GARLAND ST
EVERETT, MA 02149
Middlesex County (617) 389-7133
MR. NICHOLAS ROBERT GIURLEO PT
Physical Therapist
103 GARLAND ST
EVERETT, MA 02149
Middlesex County (617) 381-7143
PHYSICIAN COVERAGE SERVICES
Internal Medicine
103 GARLAND ST
EVERETT, MA 02149
Middlesex County (617) 921-3237
SYLVIA MATEEGA
Pharmacist
103 GARLAND ST
EVERETT, MA 02149
Middlesex County (617) 381-7163

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 Holguin's NPI number?

The NPI number for Nicole Holguin is 1881823169. It was assigned to this individual provider in the NPPES registry on July 8, 2009.

Where is Nicole Holguin located?

Nicole Holguin practices at 103 Garland St, Everett, MA 02149. The listed phone number is (617) 381-5061.

What is Nicole Holguin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nicole Holguin enrolled in Medicare?

Yes. Nicole Holguin 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.

Is Nicole Holguin affiliated with any hospitals?

According to CMS data, Nicole Holguin is affiliated with Cambridge Health Alliance.

When was this NPI record last updated?

The NPPES record for Nicole Holguin was last updated on December 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.