NICOLE IZZO (PA) – Surgical Physician Assistant, NPI 1427458348

NICOLE IZZO (PA) is a healthcare provider. based in Boston, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 5137 (MA). The NPI Number for NICOLE IZZO (PA) is 1427458348

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE IZZO (PA)
NPI
1427458348
Phone
(617) 636-5000
Address
800 WASHINGTON ST # 1013
Enumeration Date
28 August 2014
Last Update Date
19 June 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
5496078032
Group Practice PAC ID
4789647405
Professional Enrollment ID
I20150106001841
Address ID
MA021111552Bo800XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for NICOLE IZZO (PA)

  • 800 WASHINGTON ST # 1013

    PRATT NEUROSURGERY ASSOCIATES, INC

    BOSTON, MA 021111552

    Phone: (617) 636-5000

    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: 2015-01-06

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
I20150106001841IPhysician 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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1915$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

What is the standard ID for NICOLE IZZO (PA) in the U.S.?
In the U.S., NICOLE IZZO (PA) is identified by NPI 1427458348.
Quick check: is NICOLE IZZO (PA) active?
Public NPPES data shows NICOLE IZZO (PA) with an active NPI status right now.
What does the directory say NICOLE IZZO (PA) does?
Insurance directories may phrase it differently, but here NICOLE IZZO (PA) maps to Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to NICOLE IZZO (PA)?
NICOLE IZZO (PA) is associated with Boston, Massachusetts in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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