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

Nicole Marie Cacciola

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205640687

Nicole Marie Cacciola is a Physician Assistant in Keene, New Hampshire. Qualified in 2025, 1 year ago. Practices with Mary Hitchcock Memorial Hospital, a 1,266-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

580 Court St
Keene, NH 03431-1729
Phone: (603) 354-5400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205640687
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 5, 2025
Last updated in NPPESJanuary 18, 2026
Certification dateJanuary 18, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mary Hitchcock Memorial Hospital — 1266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Keene