Active NPI
Nicole P Piscatelli, M.D.
- Surgery Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 47176
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- University of Vermont College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 47176 | AZ | MD | Surgical Critical Care Physician |
| 249491 | MA | MD | Surgical Critical Care Physician |
| MD453740 | PA | MD | Trauma Surgery Physician |
| 82-320 | WI | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Hospital Based Physicians West LLC | Current | Accepting new patients | |
| HRMC, LLC | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Banner Hospital Based Physicians West LLC | Current | Accepting new patients | |
| HRMC, LLC | Family Medicine | Current | Accepting new patients |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | 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
- https://api.platform.athenahealth.com/19231/brand/1/csg/1/fhir/r4
- 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.
-
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
-
- Anesthesiology Physician
- Fall River, MA
- NPI 1043711914
-
- Multi-Specialty Clinic/Center
- Casper, WY
- NPI 1619464120
-
- Hematology & Oncology Physician
- Lake Havasu City, AZ
- NPI 1003139387
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Multi-Specialty Clinic/Center
- Ogallala, NE
- NPI 1144025446
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Psychiatric Hospital Unit
- Worcester, MA
- NPI 1689760092
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.