Individual provider Active NPI

Nicole Contreras

  • Physician Assistant
  • North Attleboro, MA
National Provider Identifier
1154919322
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
465 S Washington St
North Attleboro, MA 02760-2159
Phone
(508) 316-0725
NPI assigned
Jan 4, 2021
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

465 S Washington St
North Attleboro, MA 02760-2159

Mailing address

465 S Washington St
North Attleboro, MA 02760-2159
Phone (508) 316-0725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230503003045 MA Practitioner - Physician Assistant 3173988730 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tristan Medical Enterprises PCGroup PAC ID 1153503297, 6 clinicians

Practice addresses (Care Compare)

465 S Washington St
North Attleboro, MA 02760-2129
Phone 5083160725104

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tristan Medical Enterprises PC Current Accepting new patients

Locations

465 S Washington St
North Attleboro, MA 02760
Phone (508) 316-0725

Interoperability endpoints

  • Direct secure messaging: nicole.duplease.1@14269.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1154919322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 S WASHINGTON ST",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027602159",
            "telephone_number": "508-316-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 S WASHINGTON ST",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027602159",
            "telephone_number": "508-316-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Attleboro, MA

Sources for this page

Verify at the official NPI Registry.