SHIRELY KOCZAN
NPI 1962712745
Nurse Practitioner - Adult Health in Boston, MA
About Shirely Koczan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHIRELY KOCZAN (NPI 1962712745) is an individual adult health provider in Boston, Massachusetts, licensed in Massachusetts (RN117059) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shirely Koczan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Shirely Koczan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02215
- Reassigned Medicare billing, Massachusetts enrollment
- 1,477 clinicians in this Medicare group
Boston, MA 02215
- Reassigned Medicare billing, Massachusetts enrollment
- Also billed through NPI 1720037385 (Massachusetts)
- 2,579 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 02215 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 02215
BOSTON, MA 02215
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 Shirely Koczan's NPI number?
The NPI number for Shirely Koczan is 1962712745. It was assigned to this individual provider in the NPPES registry on October 14, 2010.
Where is Shirely Koczan located?
Shirely Koczan practices at 1 Deaconess Rd, Boston, MA 02215. The listed phone number is (617) 754-3150.
What is Shirely Koczan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Shirely Koczan enrolled in Medicare?
Yes. Shirely Koczan is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Shirely Koczan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shirely Koczan reassigns Medicare benefits to 2 organizations: Beth Israel Deaconess Medical Center, Inc. (Boston, MA) and Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA). Each 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 Shirely Koczan'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 Shirely Koczan was last updated on October 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Shirely Koczan · NPI 1962712745
Adult Health physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since October 14, 2010.
## Identity
- **NPI:** 1962712745 (Entity type: Individual)
- **Enumerated:** October 14, 2010
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** RN117059 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 DEACONESS RD, Boston, MA 02215-5321
- **Phone:** (617) 754-3150
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Beth Israel Deaconess Medical Center, Inc. (NPI 1548202641, Boston, MA); Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (NPI 1194765438, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 14, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1962712745) · Data from the CMS NPPES public registry.