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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

IRIS VICENCIO-RASKU NP
NPI 1972044980
Nurse Practitioner - Adult Health in Jamaica Plain, MA

Active since March 10, 2017PECOS Enrolled
150 S HUNTINGTON AVE BLDG 9, JAMAICA PLAIN, MA 02130(413) 584-4040(857) 364-6003 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2026, Sep 2, 2025 (2 updates tracked since 2025).

About Iris Vicencio-rasku Np NPPES

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

IRIS VICENCIO-RASKU NP (NPI 1972044980) is an individual adult health provider in Jamaica Plain, Massachusetts, licensed in Massachusetts (RN276885) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972044980
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameIRIS VICENCIO-RASKUCredential: NP
Location Address150 S HUNTINGTON AVE BLDG 9Jamaica Plain, MA 02130-4817
Mailing Address150 S Huntington Ave Bldg 9Jamaica Plain, MA 02130-4817 · (857) 364-6003 · Fax (857) 364-2803
Phone(413) 584-4040
Fax(857) 364-6003
Sole ProprietorNo
Enumeration DateMarch 10, 2017
Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1972044980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MA · RN276885
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN276885 (MA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN276885 (MA)
150 S HUNTINGTON AVE BLDG 9, Jamaica Plain, MA 02130
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Iris Vicencio-rasku Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02130 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS NICOLE M ROSARIO MSN RN
Registered Nurse
150 S HUNTINGTON AVE BLDG 9
BOSTON, MA 02130
Suffolk County (617) 435-9086

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 Iris Vicencio-rasku's NPI number?

The NPI number for Iris Vicencio-rasku is 1972044980. It was assigned to this individual provider in the NPPES registry on March 10, 2017.

Where is Iris Vicencio-rasku located?

Iris Vicencio-rasku practices at 150 S Huntington Ave Bldg 9, Jamaica Plain, MA 02130. The listed phone number is (413) 584-4040.

What is Iris Vicencio-rasku's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Iris Vicencio-rasku enrolled in Medicare?

Yes. Iris Vicencio-rasku is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Iris Vicencio-rasku was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.