Look up the most recent NPI and PECOS records

Nicholas Carra

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

271 Carew St, Springfield, MA 01104-2377

PECOS Enrollment

Based on the most recent information from CMS, provider Nicholas Carra is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1952742363
Provider Type
Individual
Full Name
Carra, Nicholas
Title
Mr.
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
7/13/2013
Last Updated
7/13/2013

Contact Information

Practice Location

271 Carew St, Springfield, MA 01104-2377

(413) 748-9670

Unlisted Fax

Mailing Location

271 Carew St, Springfield, MA 01104-2377

(413) 748-9670

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA4726 Massachusetts

Nicholas Carra

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Pope, Lyndsey Rose

Watkins, Daniel Joseph

Rebai, Leila

Naughton, Laurie Z.

Gregor, Rebecca Leanne

Yazdifard, Kiana

Hurley, John Edward

Riethle, Theresa J

Maheu, Lisa A

Mitrowski, Laura M