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

Nicolette Shayevich

Individual provider Physician Assistant · NPI 1609581925

Nicolette Shayevich is a Physician Assistant in Bedford, Massachusetts. Qualified in 2024, 2 years ago. Practices with Patriot Urgent Care Professionals PC, a 42-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

154 Great Rd
Bedford, MA 01730-2725
Phone: (508) 383-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 115 Lincoln St, Framingham, MA 01702-6358 — (508) 383-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA101112 (MA)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1609581925
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 20, 2023
Last updated in NPPESAugust 8, 2025
Certification dateAugust 8, 2025
Mailing address211 Captain Eames Cir, Ashland, MA 01721-3915

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Patriot Urgent Care Professionals Pc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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