Individual provider Active NPI

Emilija Nestor Nasto

  • Physician Assistant
  • Canton, MA
National Provider Identifier
1225711633
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA100058 Issued in MA
Practice address
95 Washington St Ste 204
Canton, MA 02021-4009
Phone
(339) 502-9889
NPI assigned
Aug 11, 2023
Last updated
Oct 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601011909 MI
Physician Assistant 363A00000X PA100058 MA Primary

Addresses

Primary practice location

95 Washington St Ste 204
Canton, MA 02021-4009

Mailing address

95 Washington St Ste 204
Canton, MA 02021-4009
Phone (339) 502-9889

Other names 1

  • Emilija Nestor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240531003237 MI Practitioner - Physician Assistant 8527400803 Reassigns benefits to 1 organization
I20241010003464 MA Practitioner - Physician Assistant 8527400803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pratt Medical Group IncGroup PAC ID 3375515661, 282 clinicians

Practice addresses (Care Compare)

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA100058MAMDPhysician Assistant
5601011909MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Medical Group, Inc CurrentSince Sep 29, 2025 Accepting new patients
Pratt Medical Group, Inc CurrentSince Sep 29, 2025 Accepting new patients
Pratt Medical Group, Inc Past Accepting new patients
Ksa Wellness, Inc. Past Accepting new patients
Ask Wellness, LLC Past Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

Organizations & group practices 7

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": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1225711633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 WASHINGTON ST STE 204",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020214009",
            "telephone_number": "339-502-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WASHINGTON ST STE 204",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020214009",
            "telephone_number": "339-502-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASTO",
        "first_name": "EMILIJA",
        "middle_name": "NESTOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-11",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011909",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA100058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILIJA",
            "last_name": "NESTOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, MA

Sources for this page

Verify at the official NPI Registry.