NICOLE MARY MAHONEY (PA-C) – Physician Assistant, NPI 1225325368

NICOLE MARY MAHONEY (PA-C) is a healthcare provider. based in Weymouth, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA4190 (MA). The NPI Number for NICOLE MARY MAHONEY (PA-C) is 1225325368

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE MARY MAHONEY (PA-C)
NPI
1225325368
Phone
(781) 624-8000
Address
55 Fogg Rd
Enumeration Date
8 July 2011
Last Update Date
26 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7815852200
Graduation Year
2011 (15 years ago)
PAC ID
7315114774
Group Practice PAC ID
3678487444
Professional Enrollment ID
I20120125000854
Address ID
MA023641250KI5XXXXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for NICOLE MARY MAHONEY (PA-C)

  • 55 Fogg Rd

    Weymouth, MA 021902432

    Phone: (781) 624-8000

    Type: Location

  • 101 Columbian St

    Weymouth, MA 021901601

    Phone: (781) 624-5000

    Type: Location

  • 780 MAIN ST

    SOUTH WEYMOUTH, MA 021901622

    Phone: (781) 331-4600

    Fax: (781) 337-5095

    Type: Mailing

  • 141 LONGWATER DR

    NORWELL, MA 020611632

    Phone: (781) 681-0384

    Type: Mailing

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: 2012-01-25

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
I20120125000854IPhysician 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
58571Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less1515$0
View full utilization report →

Insurance plans in this area (ZIP 02190)

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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: 3678487444View full group profile
NameSpecialtyState
Family PracticeMA
-MA
-MA
Nurse PractitionerMA
U R O L O G YMA
Nurse PractitionerMA
Internal MedicineMA
Nurse PractitionerMA
Physician AssistantMA
Physician AssistantMA

Reviews

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Frequently asked questions

What is NICOLE MARY MAHONEY (PA-C)'s NPI number?
NICOLE MARY MAHONEY (PA-C)'s NPI is 1225325368 — the number used across U.S. healthcare to identify this provider.
Is NICOLE MARY MAHONEY (PA-C) still an active registrant?
NICOLE MARY MAHONEY (PA-C) carries an active NPI according to the public dataset.
How would a patient describe NICOLE MARY MAHONEY (PA-C)'s focus?
For NICOLE MARY MAHONEY (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is NICOLE MARY MAHONEY (PA-C) registered?
Use Weymouth, Massachusetts as the headline location for NICOLE MARY MAHONEY (PA-C) here.
Does NICOLE MARY MAHONEY (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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