MRS. DENISE M IACOVIELLO – Family Nurse Practitioner, NPI 1912379710

MRS. DENISE M IACOVIELLO is a healthcare provider. based in Boston, Massachusetts. specializing in NURSE PRACTITIONER. They hold a License No. RN194965 (MA). The NPI Number for MRS. DENISE M IACOVIELLO is 1912379710

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DENISE M IACOVIELLO
NPI
1912379710
Phone
(617) 726-8575
Address
55 Fruit St
Enumeration Date
20 October 2015
Last Update Date
31 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7817448400
Graduation Year
2016 (10 years ago)
PAC ID
4486939733
Group Practice PAC ID
2365405024
Professional Enrollment ID
I20170329000015
Address ID
MA018050001BU41XXXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for MRS. DENISE M IACOVIELLO

  • 55 Fruit St

    Boston, MA 021142621

    Phone: (617) 726-8575

    Type: Location

  • 411 SALEM ST

    LYNNFIELD, MA 019402329

    Phone: (781) 593-6814

    Type: Mailing

  • 585 LEBANON ST

    MELROSE, MA 021763225

    Phone: (781) 979-3200

    Type: Location

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: 2017-03-29

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
I20170329000015INurse PractitionerMATBD

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 minutes4746$0
99215Established patient office or other outpatient visit, 40-54 minutes3737$0
J1030Injection, methylprednisolone acetate, 40 mg3326$0
20610Aspiration and/or injection of fluid from large joint2827$0
27130Replacement of thigh bone and hip joint with prosthesis2222$0
View full utilization report →

Insurance plans in this area (ZIP 02114)

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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: 2365405024View full group profile
NameSpecialtyState
Infectious DiseaseMA
Internal MedicineMA
A N E S T H E S I O L O G YMA
-MA
Clinical Social WorkerMA
Interventional Cardiology, Cardiovascular Disease (Cardiology)MA
-MA
Nurse PractitionerMA
-MA
-MA

Reviews

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Frequently asked questions

Does MRS. DENISE M IACOVIELLO have a public NPI I can cite?
Public records show MRS. DENISE M IACOVIELLO under NPI 1912379710.
Quick check: is MRS. DENISE M IACOVIELLO active?
Public NPPES data shows MRS. DENISE M IACOVIELLO with an active NPI status right now.
What type of care does MRS. DENISE M IACOVIELLO provide?
MRS. DENISE M IACOVIELLO's profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. DENISE M IACOVIELLO?
MRS. DENISE M IACOVIELLO 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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