MRS. NICOLE MARIE IKEDA PA-C
NPI 1952858441
Physician Assistant - Medical in Dedham, MA

Active since September 01, 2016PECOS EnrolledAccepts Medicare Assignment
1 LYONS ST, DEPT. OF DERMATOLOGY, DEDHAM, MA 02026(781) 329-1400 Get Directions Write a Review

NPPES record last updated: December 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 5, 2019, Nov 28, 2018, Sep 1, 2016 (3 updates tracked since 2016).

About Mrs. Nicole Marie Ikeda Pa-c NPPES

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

MRS. NICOLE MARIE IKEDA PA-C (NPI 1952858441) is an individual medical provider in Dedham, Massachusetts, licensed in Massachusetts (PA5670) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1952858441
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. NICOLE MARIE IKEDACredential: PA-C
Location Address1 LYONS ST, DEPT. OF DERMATOLOGYDedham, MA 02026
Mailing Address1 Lyons St, Dept. Of DermatologyDedham, MA 02026 · (781) 329-1400
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 1, 2016
Last NPPES UpdateDecember 5, 20193 updates tracked since enumeration
NPI 1952858441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MA · PA5670
1 LYONS ST, Dedham, MA 02026

Accepted Insurance

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

Mrs. Nicole Marie Ikeda Pa-c 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 ID840572681
PECOS Enrollment IDI20170131000975
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 9

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
420 services103 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
318 services272 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
169 services146 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
105 services92 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
76 services71 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
55 services49 patients

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.

Nurse Practitioner (Family)
1 LYONS ST
DEDHAM, MA 02026
Internal Medicine
1 LYONS ST
DEDHAM, MA 02026
Clinic/Center (Multi-Specialty)
1 LYONS ST
DEDHAM, MA 02026
Advanced Practice Midwife
1 LYONS ST
DEDHAM, MA 02026
Obstetrics & Gynecology
1 LYONS ST
DEDHAM, MA 02026
Advanced Practice Midwife
1 LYONS ST
DEDHAM, MA 02026
Pediatrics
1 LYONS ST
DEDHAM, MA 02026
Internal Medicine
1 LYONS ST
DEDHAM, MA 02026

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 Ikeda's NPI number?

The NPI number for Nicole Ikeda is 1952858441. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Nicole Ikeda located?

Nicole Ikeda practices at 1 Lyons St Dept. Of Dermatology, Dedham, MA 02026. The listed phone number is (781) 329-1400.

What is Nicole Ikeda's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nicole Ikeda enrolled in Medicare?

Yes. Nicole Ikeda 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.

What insurance does Nicole Ikeda accept?

Health plans from Anthem Blue Cross and Blue Shield list Nicole Ikeda 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 Ikeda was last updated on December 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.