Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grace Rose Fanikos

Individual provider Physician Assistant · NPI 1528708948

Grace Rose Fanikos is a Physician Assistant in Boston, Massachusetts. Qualified in 2022, 4 years ago. Practices with Cambridge Public Health Commission, a 649-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

179 Longwood Ave
Boston, MA 02115-5804
Phone: (617) 732-2850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1528708948
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 1, 2022
Last updated in NPPESApril 1, 2022
Certification dateApril 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Cambridge Public Health Commission — 649 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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