NICOLE DWYER (PA) – Physician Assistant, NPI 1184778383

NICOLE DWYER (PA) is a healthcare provider. based in Brookline, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for NICOLE DWYER (PA) is 1184778383

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE DWYER (PA)
NPI
1184778383
Phone
Not provided
Address
185 RAWSON RD
Enumeration Date
23 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6179837000
Graduation Year
1997 (29 years ago)
PAC ID
8022189067
Group Practice PAC ID
3870405988
Professional Enrollment ID
I20080618000338
Address ID
MA021303446JA1153XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

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Provider Addresses for NICOLE DWYER (PA)

  • 185, Rawson Road, Aspinwall Hill, North Brookline, Brookline, Norfolk County, Massachusetts, 02445, United States

    #1

    BROOKLINE, MA 024454404

    Phone:

    Type: Mailing

  • Brigham & Women's Faulkner Hospital, 1153, Centre Street, Jamaica Plain, Boston, Suffolk County, Massachusetts, 02130, United States

    JAMAICA PLAIN, MA 021303446

    Phone: (617) 983-7132

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-06-18

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
I20080618000338IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02445)

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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: 3870405988View full group profile
NameSpecialtyState
N E U R O S U R G E R YMD
-MA
Critical Care (Intensivists), Pulmonary DiseaseFL
Physician AssistantMA
N E U R O L O G YMA
Nurse PractitionerMA
Orthopedic SurgeryMA
Physician AssistantNH
Nurse PractitionerMA
P A T H O L O G YMA

Reviews

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Frequently asked questions

Does NICOLE DWYER (PA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — NICOLE DWYER (PA) uses 1184778383.
Does the file indicate NICOLE DWYER (PA) is practicing under active NPI?
Directory data currently reports NICOLE DWYER (PA) as active.
What is NICOLE DWYER (PA) best known for clinically?
Directory data describes NICOLE DWYER (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is NICOLE DWYER (PA) based?
NICOLE DWYER (PA) is tied to Brookline, Massachusetts in the data we show; additional addresses may exist on the full record.
Why does NICOLE DWYER (PA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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