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Active NPI 1528985694 Individual Practitioner Male Practitioner

Nickolas Rivas , PSYCH NP GRADSTUDENT

Registered Nurse • Boston, MA

Professional Overview & Biography Verified Profile Summary

Nickolas Rivas, PSYCH NP GRADSTUDENT is a registered healthcare professional specializing in Registered Nurse in Boston, MA. Practice services are available at 55 FRUIT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

55 Fruit St

Boston, MA 021142696

Telephone 6177245600
Fax 6177267541
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.2 Yrs
State Avg: 5.1 Yrs
Regional Practice Density
696 Specialists

Practicing in Boston, MA (5086 Statewide)

Telehealth Adoption Rate
0.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-30
Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License MA RN10031545

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Corinna Elliott , MA

Student in an Organized Health Care Education/Training Program

NPI 1003194762

Master of Arts

Laura Richardson

Psychologist - Clinical

NPI 1003236233
Chelsea Cosner

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1003393380
NPI 1003807587

MBBSFRACP

Dr. William Falk , MD

Psychiatry & Neurology - Geriatric Psychiatry

NPI 1003807918

Doctor of Medicine (M.D.)

Dr. Cary Crall , MD

Psychiatry & Neurology - Psychiatry

NPI 1023466653

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 30, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2026

Registered at 55 FRUIT ST, BOSTON, MA 021142696 (Tel: 6177245600)

📍
Updated Business Mailing Address June 30, 2026

Registered at 55 FRUIT ST, BOSTON, MA 021142696 (Tel: 6177245600)

👤
Provider Name / Credentials Updated June 30, 2026

Recorded as NICKOLAS RIVAS, PSYCH NP GRADSTUDENT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2026

Registered Nurse (License #RN10031545 in MA)

🟢
Initial NPI Registration & Enumeration June 30, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528985694
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2026
Last Update: June 30, 2026
Sole Proprietor: No

Mailing Address

55 Fruit St

Boston, MA 021142696

Phone: 6177245600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.