KAYLA NINTEAU (PA-C) – Physician Assistant, NPI 1053764597

KAYLA NINTEAU (PA-C) is a healthcare provider. based in Waltham, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA5848 (MA). The NPI Number for KAYLA NINTEAU (PA-C) is 1053764597

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KAYLA NINTEAU (PA-C)
NPI
1053764597
Phone
(781) 894-6900
Address
1030 Main St
Enumeration Date
20 July 2016
Last Update Date
17 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7742553010
Graduation Year
2016 (10 years ago)
PAC ID
0547541369
Group Practice PAC ID
5193186492
Professional Enrollment ID
I20170109003207
Address ID
MA025403906FA40XXXSTRA300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for KAYLA NINTEAU (PA-C)

  • 1030 Main St

    Waltham, MA 024517447

    Phone: (781) 894-6900

    Type: Location

  • 419B Andover St

    North Andover, MA 018455001

    Phone: (978) 620-5048

    Type: Location

  • Chipotle, 1006;1022;1030, Main Street, Riverview, Waltham, Middlesex County, Massachusetts, 02453-2728, United States

    WALTHAM, MA 024517447

    Phone:

    Type: Mailing

  • 330 MOUNT AUBURN ST

    CAMBRIDGE, MA 021385502

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: PFIZER INC. ($39).

Total Amount

$39

General + Research + Ownership

Payments

2

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$39
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: 2023-11-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170109003207IPhysician AssistantMATBD
I20231115001108IPhysician AssistantNHTBD

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
99204New patient office or other outpatient visit, 45-59 minutes3131$0
99203New patient office or other outpatient visit, 30-44 minutes2424$0
99284Emergency department visit with moderate level of medical decision making2020$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1515$0
99214Established patient office or other outpatient visit, 30-39 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 02451)

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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: 5193186492View full group profile
NameSpecialtyState
Physician AssistantME
Physician AssistantNH
Physician AssistantNH
Physician AssistantNH
Nurse PractitionerNH
Emergency MedicineCA
Physician AssistantMA
Physician AssistantMA
Physician AssistantMA
Physician AssistantMA

Reviews

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Frequently asked questions

What unique ID ties claims to KAYLA NINTEAU (PA-C)?
NPI 1053764597 is assigned to KAYLA NINTEAU (PA-C) under the national enumeration system.
Is KAYLA NINTEAU (PA-C) currently active in the NPI registry?
CMS-published data lists KAYLA NINTEAU (PA-C) as an active registrant.
What field does KAYLA NINTEAU (PA-C) work in?
You can think of KAYLA NINTEAU (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for KAYLA NINTEAU (PA-C)?
The page summarizes Waltham, Massachusetts for KAYLA NINTEAU (PA-C); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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