Individual provider Active NPI

Andrew Robert Nosal

  • Physician Assistant
  • Fitchburg, MA
National Provider Identifier
1306433453
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA8734 Issued in MA
Practice address
380 John Fitch Hwy
Fitchburg, MA 01420-4502
Phone
(978) 696-3547
NPI assigned
Dec 23, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA8734 MA Primary

Addresses

Primary practice location

380 John Fitch Hwy
Fitchburg, MA 01420-4502

Mailing address

10 Ferry St Ste 302
Concord, NH 03301-5081

Other practice location 1

348 Greenwood St
Worcester, MA 01607-1728
Phone (774) 420-2103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, AZ2 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
I20221102001013 MA Practitioner - Physician Assistant 9234506312 Reassigns benefits to 4 organizations
I20260508003040 AZ Practitioner - Physician Assistant 9234506312 Reassigns benefits to 1 organization

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
Arizona Cardiovascular LLCGroup PAC ID 7810352879, 3 clinicians

Practice addresses (Care Compare)

3235 N Windsong Dr
Prescott Valley, AZ 86314-1222
Phone (602) 654-1950

Hospital & facility affiliations

  • Heywood Hospital - Hospital, Gardner, MA, CCN 220095

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Athol Memorial Hospital Incorporated Physician Assistant CurrentSince Jul 21, 2024 Accepting new patients
Henry Heywood Memorial Hospital Physician Assistant CurrentSince Jul 21, 2024 Accepting new patients
Urgent Care Centers of Central Massachusetts, LLC CurrentSince Oct 7, 2022 Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

380 John Fitch Hwy
Fitchburg, MA 01420
Phone (617) 302-4194

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

242 Green St
Ste 205
Gardner, MA 01440

757 Boston Post Rd E
Marlborough, MA 01752
Phone (508) 630-8989

348 Greenwood St
Worcester, MA 01607
Phone (508) 752-1911

10 Ferry St
Ste 302
Concord, NH 03301

Organizations & group practices 6

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

Hospital & facility affiliations 2

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": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1306433453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FERRY ST STE 302",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 JOHN FITCH HWY",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014204502",
            "telephone_number": "978-696-3547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "348 Greenwood St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016071728",
            "country_code": "US",
            "telephone_number": "774-420-2103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOSAL",
        "first_name": "ANDREW",
        "middle_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-23",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA8734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

Verify at the official NPI Registry.