Nicole Modzelewski
NPI 1508435884ActiveIndividual· Physician Assistant· Boston, MA
Physician Assistant with Geriatric Primary Care PC and 1 other group, practicing in Boston, Massachusetts. Part D covered 319 prescriptions written in 2024, 94% of them generic. Lists Baystate Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1508435884 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jun 22, 2021 |
| Last updated in NPPES | Jun 22, 2021 |
| Certified by provider | Jun 22, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 319 · 319 30-day fills |
|---|---|
| Patients | 122 |
| Total drug cost | $6,736 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Geriatric Primary Care PCAgawam, MA · 13 clinicians
- Am Medical PCLongmeadow, MA · 13 clinicians
Hospital affiliations
- Baystate Medical CenterSpringfield, MA
- Baystate Wing HospitalPalmer, MA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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