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

Nicole Modzelewski

Individual provider Physician Assistant · NPI 1508435884

Nicole Modzelewski is a Physician Assistant in Boston, Massachusetts. Qualified in 2021, 5 years ago. Practices with Am Medical PC, a 14-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
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Practice location Address checks out

125 Parker Hill Ave Ste 2
Boston, MA 02120-2865
Phone: (617) 754-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 153 Delaney Ave, Chicopee, MA 01013-1311 — (413) 426-3651

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1508435884
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 22, 2021
Last updated in NPPESJune 22, 2021
Certification dateJune 22, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Am Medical Pc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations17 on file with Medicare

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