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

Nicole Lyn Scouras, FNP

Individual provider Family Nurse Practitioner · NPI 1275817652

Nicole Lyn Scouras, FNP is a Nurse Practitioner in Medford, Massachusetts. Qualified in 2011, 15 years ago. Practices with Minuteclinic Diagnostic of Massachusetts, LLC, a 105-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in California and Massachusetts.

Years since qualifying
15
Licensed in
CA, MA
In the registry since
2011
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

85 High St
Medford, MA 02155-3825
Phone: (781) 396-4770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 5644 Mission Center Rd, San Diego, CA 92108-4328 — (866) 389-2727
  • 5644 Mission Center Rd, San Diego, CA 92108-4328 — (866) 389-2727
  • 2505 Santa Monica Blvd, Santa Monica, CA 90404-2011 — (310) 828-6456
  • 33205 Temecula Pkwy, Temecula, CA 92592 — (951) 303-3164

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN2264342 (MA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 806756 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 21340 (CA)

Record details

NPI number1275817652
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedOctober 4, 2011
Last updated in NPPESApril 15, 2021
Certification dateApril 15, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Minuteclinic Diagnostic Of Massachusetts, Llc — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Medford