Individual provider Active NPI

Nicole P Piscatelli, M.D.

  • Surgery Physician
  • Worcester, MA
National Provider Identifier
1437206562
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
47176 Issued in AZ
Practice address
55 Lake Ave N
Worcester, MA 01655-0002
Phone
(508) 859-5288
Fax
(508) 856-4224
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X 249491 MA
Trauma Surgery Physician 2086S0127X MD453740 PA
Surgical Critical Care Physician 2086S0102X 47176 AZ
Surgical Critical Care Physician 2086S0102X 4301106577 MI
Trauma Surgery Physician 2086S0127X 82-320 WI
Surgical Critical Care Physician 2086S0102X 249491 MA
Surgery Physician 208600000X 47176 AZ Primary
Trauma Surgery Physician 2086S0127X 47176 AZ

Addresses

Primary practice location

55 Lake Ave N
Worcester, MA 01655-0002

Mailing address

3141 N 48TH St
Phoenix, AZ 85018-6564
Phone (802) 310-9302

Other practice location 1

3141 N 48th St
Phoenix, AZ 85018-6564
Phone (802) 310-9302

Other practice location 2

5401 Old York Rd Ste 101
Philadelphia, PA 19141-3045
Phone (215) 457-4444

Other practice location 3

2 Medical Center Drive
Suite 301
Springfield, MA 01107-1270
Phone (413) 794-8020

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other
Direct Messaging Address npiscatelli309857@direct-ehr-ssmhc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, AZ, WI, WY4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20120207000320 MA Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 0042495145 Reassigns benefits to 1 organization
I20130314000266 AZ Practitioner - Critical Care (Intensivists)Practitioner - General SurgeryPractitioner - Emergency Medicine 0042495145 Reassigns benefits to 1 organization
I20180711000004 WI Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 0042495145 Reassigns benefits to 1 organization
I20220822000813 WY Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 0042495145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: General Surgery
Education
University of Vermont College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians

Practice addresses (Care Compare)

1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47176AZMDSurgical Critical Care Physician
249491MAMDSurgical Critical Care Physician
MD453740PAMDTrauma Surgery Physician
82-320WIMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians West LLC CurrentSince Nov 1, 2023 Accepting new patients
HRMC, LLC CurrentSince Aug 19, 2017 Accepting new patients
Steward Medical Group, Inc CurrentSince Mar 1, 2020 Accepting new patients
Banner Hospital Based Physicians West LLC CurrentSince Nov 1, 2023 Accepting new patients
HRMC, LLC Family Medicine CurrentSince Aug 19, 2017 Accepting new patients
Mercy Health System Corporation CurrentSince Jun 1, 2018 Accepting new patients
Mercy Health System Corporation CurrentSince Jun 1, 2018 Accepting new patients
Steward Medical Group, Inc CurrentSince Mar 1, 2020 Accepting new patients
Umass Memorial Medical Center, Inc. Past Accepting new patients

Locations

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

1851 Mesquite Ave
Ste 210
Lk Havasu Cty, AZ 86403
Phone (928) 854-7540

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

70 East St
Methuen, MA 01844
Phone (978) 682-1906

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19231/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nicole.piscatelli@direct.einstein.edu

Organizations & group practices 9

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 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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1437206562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3141 N 48TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850186564",
            "telephone_number": "802-310-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "508-859-5288",
            "fax_number": "508-856-4224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3141 N 48th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850186564",
            "country_code": "US",
            "telephone_number": "802-310-9302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5401 Old York Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413045",
            "country_code": "US",
            "telephone_number": "215-457-4444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Medical Center Drive",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011071270",
            "country_code": "US",
            "telephone_number": "413-794-8020",
            "fax_number": "413-794-2165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PISCATELLI",
        "first_name": "NICOLE",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "MA",
            "license": "249491",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "PA",
            "license": "MD453740",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "AZ",
            "license": "47176",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MI",
            "license": "4301106577",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "WI",
            "license": "82-320",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MA",
            "license": "249491",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "47176",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "AZ",
            "license": "47176",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "700 S Park St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "npiscatelli309857@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "npiscatelli309857@direct-ehr-ssmhc.com",
            "address_1": "700 S Park St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.