NICHOLAS D GOTTSHALL (PA-C) – Surgical Physician Assistant, NPI 1043833221

NICHOLAS D GOTTSHALL (PA-C) is a healthcare provider. based in North reading, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA7521 (MA). The NPI Number for NICHOLAS D GOTTSHALL (PA-C) is 1043833221

Main info

Male
6 Years Of Experience
Name
NICHOLAS D GOTTSHALL (PA-C)
NPI
1043833221
Phone
(781) 771-3837
Address
220 NORTH ST
Enumeration Date
22 May 2020
Last Update Date
21 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7812817081
Graduation Year
2020 (6 years ago)
PAC ID
6901226760
Group Practice PAC ID
1951732825
Professional Enrollment ID
I20201015002192
Address ID
MA019052408LY776XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

5,093 PHYSICIAN ASSISTANT in MA

Provider Addresses for NICHOLAS D GOTTSHALL (PA-C)

  • 220 NORTH ST

    NORTH READING, MA 018641225

    Phone: (781) 771-3837

    Type: Mailing

  • 330 MOUNT AUBURN ST

    CAMBRIDGE, MA 021385502

    Phone: (617) 492-3500

    Type: Location

  • 330 MT AUBURN ST

    PARSONS 2

    CAMBRIDGE, MA 021385597

    Phone: (617) 499-3500

    Type: Mailing

  • 330 MOUNT AUBURN ST # SURGERY

    CAMBRIDGE, MA 021385597

    Phone: (617) 492-3500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $314.

Total Amount is formed as General ($314) + Research ($0) + Ownership ($0) = $314.

Last reported payment date: 2024-08-21 • Largest payer in this snapshot: PFIZER INC. ($88).

Total Amount

$314

General + Research + Ownership

Payments

13

Total payment records

General Amount

$314

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-21

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-10-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201015002192IPhysician AssistantMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2624$0
99284Emergency department visit with moderate level of medical decision making2626$0
99285Emergency department visit with high level of medical decision making1616$0
99291Critical care, first 30-74 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 01864)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951732825View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerMA
Emergency MedicineMA
Nurse PractitionerCA
Physician AssistantME
Internal Medicine, HospitalistMA
Physician AssistantMA
Nurse PractitionerMA
Physician AssistantMA
Physician AssistantRI

Reviews

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Frequently asked questions

What is the registry number for NICHOLAS D GOTTSHALL (PA-C)?
The registry entry for NICHOLAS D GOTTSHALL (PA-C) shows NPI 1043833221.
Does the public listing show NICHOLAS D GOTTSHALL (PA-C) as active?
NICHOLAS D GOTTSHALL (PA-C)'s NPI record reflects an active status in NPPES.
Which specialty label fits NICHOLAS D GOTTSHALL (PA-C)?
NPPES ties NICHOLAS D GOTTSHALL (PA-C) to Surgical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to NICHOLAS D GOTTSHALL (PA-C)?
NICHOLAS D GOTTSHALL (PA-C) shows a connection to North Reading, Massachusetts in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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