Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nikolas Sandquist Wilde, PA-C

Individual provider Physician Assistant · NPI 1770263469

Nikolas Sandquist Wilde, PA-C is a Physician Assistant in Boston, Massachusetts. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois and Massachusetts.

Licensed in
IL, MA
In the registry since
2023
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

800 Washington St
Boston, MA 02111-1552
Phone: (505) 500-5093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 479 Washington St, Quincy, MA 02169-5895 — (857) 529-5220

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085010340 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 1209260
Physician Assistant Taxonomy 363A00000X · Licence PA9559 (MA)

Record details

NPI number1770263469
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 19, 2023
Last updated in NPPESMay 14, 2024
Certification dateMay 14, 2024

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