STEPHANIE NASSON – Physician Assistant, NPI 1407475809

STEPHANIE NASSON is a healthcare provider. based in Boston, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA8004 (MA). The NPI Number for STEPHANIE NASSON is 1407475809

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE NASSON
NPI
1407475809
Phone
Not provided
Address
800 WASHINGTON STREET
Enumeration Date
15 April 2020
Last Update Date
29 January 2024

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
7315349362
Group Practice PAC ID
4789647405
Professional Enrollment ID
I20210713002388
Address ID
MA021111552Bo800XXSTXX300
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

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for STEPHANIE NASSON

  • 800 WASHINGTON STREET

    PROGER 7, NEUROSURGERY SUITE

    BOSTON, MA 02111

    Phone:

    Type: Mailing

  • 65 CAESAR CHELOR DR

    WRENTHAM, MA 020931295

    Phone: (508) 617-1026

    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: 2021-07-13

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
I20210713002388IPhysician 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4935$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3525$0
99291Critical care, first 30-74 minutes2815$0
View full utilization report →

Insurance plans in this area (ZIP 02111)

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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: 4789647405View full group profile
NameSpecialtyState
Nurse PractitionerMA
N E U R O S U R G E R YMA
-MA
Physician AssistantMA
N E U R O S U R G E R YMA
Physician AssistantMA
-OR
N E U R O S U R G E R YGA
N E U R O S U R G E R YMA
Physician AssistantMA

Reviews

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Frequently asked questions

Can I cross-check STEPHANIE NASSON using NPI 1407475809?
NPI 1407475809 belongs to STEPHANIE NASSON; compare other details if you need extra assurance.
Is STEPHANIE NASSON shown as active in public data?
Registry records indicate STEPHANIE NASSON maintains an active NPI.
What kind of doctor is STEPHANIE NASSON?
STEPHANIE NASSON is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is STEPHANIE NASSON located near Boston?
STEPHANIE NASSON currently maps to Boston, Massachusetts in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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