DR. NICOLE ALEXIS SIRACUSA (M.D.) – Family Medicine Physician, NPI 1265808265

DR. NICOLE ALEXIS SIRACUSA (M.D.) is a healthcare provider. based in Randolph, Massachusetts. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 277372 (MA). The NPI Number for DR. NICOLE ALEXIS SIRACUSA (M.D.) is 1265808265

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICOLE ALEXIS SIRACUSA (M.D.)
NPI
1265808265
Phone
(781) 575-0330
Address
32 S MAIN ST STE 100
Enumeration Date
13 August 2015
Last Update Date
22 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7819868039
Graduation Year
2015 (11 years ago)
PAC ID
1153623061
Group Practice PAC ID
6800787714
Professional Enrollment ID
I20190111001771
Address ID
MA023684835RA32XXXSTXX407
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Digital endpointsOther names

1,899 FAMILY PRACTICE in MA

Provider Addresses for DR. NICOLE ALEXIS SIRACUSA (M.D.)

  • 32 S MAIN ST STE 100

    RANDOLPH, MA 023684835

    Phone: (781) 575-0330

    Mailing address matches the actual address.

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: 2019-01-11

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
I20190111001771IFamily PracticeMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes5938$0
G0442Annual alcohol misuse screening, 5 to 15 minutes2828$0
G0444Annual depression screening, 5 to 15 minutes2727$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2525$0
99497Advance care planning, first 30 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 02368)

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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: 6800787714View full group profile
NameSpecialtyState
Nurse PractitionerMA
-MA
Physician AssistantMA
-MA
Nurse PractitionerMA
Cardiovascular Disease (Cardiology), Internal MedicineMA
-MA
Family PracticeMA
Family PracticeMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

Can I cross-check DR. NICOLE ALEXIS SIRACUSA (M.D.) using NPI 1265808265?
NPI 1265808265 belongs to DR. NICOLE ALEXIS SIRACUSA (M.D.); compare other details if you need extra assurance.
Is there an active status for DR. NICOLE ALEXIS SIRACUSA (M.D.)?
For scheduling context, DR. NICOLE ALEXIS SIRACUSA (M.D.) is shown as active in the registry.
What area of care is associated with DR. NICOLE ALEXIS SIRACUSA (M.D.)?
DR. NICOLE ALEXIS SIRACUSA (M.D.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. NICOLE ALEXIS SIRACUSA (M.D.) associated with Randolph?
Public fields place DR. NICOLE ALEXIS SIRACUSA (M.D.) around Randolph, Massachusetts. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. NICOLE ALEXIS SIRACUSA (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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