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

Tristan Isacksen, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1376419283

Tristan Isacksen, NP is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2025, 1 year ago. Licensed in Massachusetts.

Years since qualifying
1
Licensed in
MA
In the registry since
2025
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

186 Lincoln St Ste 214
Boston, MA 02111-2403
Phone: (212) 203-1773
Fax: (646) 665-4427
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN10005192 (MA)

Record details

NPI number1376419283
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 16, 2025
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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