Nicole Denise Mahoney, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

976 Issued in MA

Practice address

150 Presidential Way
Suite 110
Woburn, MA 01801-1100

Phone

(781) 782-1300

Fax

(781) 782-1350

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Denise Nesbitt Former name

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

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excel Orthopaedic SpecialistsGroup PAC ID 0648241414, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nicole.mahoney@eos.eclinicaldirectplus.com
• Direct secure messaging: nicole.mahoney.excel@elincdirect.org

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.

• Excel Orthopaedic Specialists

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Woburn, MA
  • NPI 1659349462
  Medicare reassignment Care Compare group
• Excel Orthopaedic Specialists Inc

  • Occupational Therapist
  • Woburn, MA
  • NPI 1104033836
  NPD (past)
• Excel Orthopaedic Specialists Inc

  • Physical Therapist
  • Woburn, MA
  • NPI 1578770202
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1992729966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PRESIDENTIAL WAY",
            "address_2": "SUITE 110",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011100",
            "telephone_number": "781-782-1300",
            "fax_number": "781-782-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PRESIDENTIAL WAY",
            "address_2": "SUITE 110",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011100",
            "telephone_number": "781-782-1300",
            "fax_number": "781-782-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "NICOLE",
        "middle_name": "DENISE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "NESBITT",
            "middle_name": "DENISE",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Frank Maddalone, PTA
• Krista Madrid
• Huong Nguyen Madrigal, RN
• Michael Maerten
• Jane Mahoney
• Rebecca Ann Maile
• Harison Muiruri Maina
• Shawn Major, PTA
• Kimberly Ann Makara
• Rhea E Malafeew

• Physician Assistant in Woburn, MA
• Providers in Woburn, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.