NICOLE RUSSO CAVIGNARO (PA-C) – Physician Assistant, NPI 1508527748

NICOLE RUSSO CAVIGNARO (PA-C) is a healthcare provider. based in Middleton, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9117532 (FL). The NPI Number for NICOLE RUSSO CAVIGNARO (PA-C) is 1508527748

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE RUSSO CAVIGNARO (PA-C)
NPI
1508527748
Phone
(978) 930-0139
Address
70 FULLER POND RD
Enumeration Date
9 January 2022
Last Update Date
12 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9045445800
Graduation Year
2022 (4 years ago)
PAC ID
6800248667
Group Practice PAC ID
2769897974
Professional Enrollment ID
I20240117001285
Address ID
FL320958464ST316XXDRXX400

Contacts

Secure Messaging
ncavi1@stu.mcphs.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

5,093 PHYSICIAN ASSISTANT in MA

Provider Addresses for NICOLE RUSSO CAVIGNARO (PA-C)

  • 70 FULLER POND RD

    MIDDLETON, MA 019492508

    Phone: (978) 930-0139

    Type: Mailing

  • 316 PASEO REYES DR

    ST AUGUSTINE, FL 320958464

    Phone: (904) 544-5800

    Fax: (904) 544-5800

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 88 Open Payments records for all available years, with a total value of $1,779.

Total Amount is formed as General ($1,779) + Research ($0) + Ownership ($0) = $1,779.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: GENZYME CORPORATION ($380).

Total Amount

$1,779

General + Research + Ownership

Payments

88

Total payment records

General Amount

$1,779

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-01-17

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
I20240117001285IPhysician AssistantFLTBD

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 01949)

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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: 2769897974View full group profile
NameSpecialtyState
Nurse PractitionerFL
Micrographic Dermatologic Surgery (Mds), DermatologyFL
Physician AssistantFL
D E R M A T O L O G YFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for NICOLE RUSSO CAVIGNARO (PA-C)?
NICOLE RUSSO CAVIGNARO (PA-C) — NPI 1508527748 — is the standard way to identify this listing.
Can I rely on NICOLE RUSSO CAVIGNARO (PA-C) being an active provider?
As of the registry snapshot, NICOLE RUSSO CAVIGNARO (PA-C) is marked active.
What healthcare role does NICOLE RUSSO CAVIGNARO (PA-C) hold?
Scheduling teams often label NICOLE RUSSO CAVIGNARO (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is NICOLE RUSSO CAVIGNARO (PA-C) based?
NICOLE RUSSO CAVIGNARO (PA-C) is tied to Middleton, Massachusetts in the data we show; additional addresses may exist on the full record.
Why does NICOLE RUSSO CAVIGNARO (PA-C) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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