Active NPI 1023305596 Individual Practitioner Female Practitioner

Nicole M Gilson , NP

Nurse Practitioner • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nicole Gilson, NP is a certified Nurse Practitioner practicing in Worcester, MA. With approximately 15 years of clinical experience since graduating from University Of Massachusetts Medical School in 2011, Nicole Gilson delivers high-quality medical care to the local community at 119 BELMONT ST DEPT OF.

Nicole Gilson is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include hospital discharge day management, initial hospital inpatient care per day, emergency department visit with straightforward medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

119 Belmont St Dept Of

Worcester, MA 016052903

Telephone 5083349765

Fax 5083349477

Associated Practice Facility / Clinic

🏢 Umass Memorial Medical Group Inc Facility NPI 1760445373

Medicare Profile & Education

Medical School

University Of Massachusetts Medical School

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Worcester, MA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs +4.1 yrs vs City Avg

City Avg: 10.9 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

506 Specialists

Practicing in Worcester, MA (3545 Statewide)

Telehealth Adoption Rate

17.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gilson (15 Years) 15 Yrs

Worcester Specialty Average (10.9 Years) 10.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99238 Hospital discharge day management, 30 minutes or less	76	72	$250.00	$68.43
99221 Initial hospital inpatient care per day, typically 30 minutes	48	46	$331.00	$69.20
99238 Hospital discharge day management, 30 minutes or less	36	34	$250.00	$68.45
99282 Emergency department visit with straightforward medical decision making	12	12	$195.00	$34.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	11	11	$251.91	$65.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	59	$238.00	$68.58
99238 Hospital discharge day management, 30 minutes or less	54	48	$250.00	$70.25
99238 Hospital discharge day management, 30 minutes or less	31	31	$250.00	$70.29
99284 Emergency department visit with moderate level of medical decision making	14	14	$383.00	$103.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	13	$238.00	$68.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	27	$238.00	$62.16
99238 Hospital discharge day management, 30 minutes or less	22	22	$250.00	$62.93
99217 Hospital observation care on day of discharge	18	18	$249.00	$62.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99217 Hospital observation care on day of discharge	49	47	$248.39	$63.92
99238 Hospital discharge day management, 30 minutes or less	44	39	$249.32	$63.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	36	$234.89	$63.46
99239 Hospital discharge day management, more than 30 minutes	29	28	$353.48	$92.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99217 Hospital observation care on day of discharge	48	43	$244.00	$65.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	32	$215.00	$64.96
99238 Hospital discharge day management, 30 minutes or less	27	24	$245.00	$65.76
99239 Hospital discharge day management, more than 30 minutes	13	13	$333.00	$96.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99217 Hospital observation care on day of discharge	59	58	$243.93	$65.16
99239 Hospital discharge day management, more than 30 minutes	36	32	$332.83	$95.47
99213 Established patient office or other outpatient visit, typically 15 minutes	34	28	$199.00	$45.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	16	$215.00	$64.65
99238 Hospital discharge day management, 30 minutes or less	14	14	$244.29	$65.17
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	14	$118.71	$35.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	414	187	$199.00	$45.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	15	$210.00	$64.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	322	166	$199.00	$44.31
11042 Removal of skin and tissue, 20.0 sq cm or less	45	21	$334.00	$54.48
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$228.38	$43.92
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$199.00	$44.25

Medical Specialties & State Licenses

CMS Verified: 2020-10-27

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA 284105

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License MA 284105

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

110089891A (MA)

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

119 Belmont St, Worcester, MA 016052903

Phone: 5083341000

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Practice Associates & Co-Workers

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

15 Associated Practitioners

Jobin Kalathil , CRNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1023520749

Certified Registered Nurse Practitioner

Seanna Longacre

Nurse Practitioner - Acute Care

NPI 1053083402

Dr. Jennifer Fantasia , MD

Urology

NPI 1053799726

Doctor of Medicine (M.D.)

Kate Lobisser , PA-C

Physician Assistant

NPI 1093521809

Physician Assistant (Certified)

Matthew Chabot

Urology

NPI 1255898870

Dr. Claire Hopkins , DNP

Nurse Practitioner

NPI 1336964246

Doctor of Nursing Practice

Career & Practice History Timeline

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

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2020

Nurse Practitioner (License #284105 in MA)

📍

Updated Practice Location June 05, 2019

Registered at 119 BELMONT ST DEPT OF, WORCESTER, MA 016052903 (Tel: 5083349765)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2019

Nurse Practitioner (License #284105 in MA)

✅

NPI Profile Active March 07, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 07, 2016

Registered at 55 LAKE AVE N, DEPARTMENT OF ORTHOPEDICS, WORCESTER, MA 016550002 (Tel: 5083345500)

📍

Updated Business Mailing Address March 07, 2016

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

👤

Provider Name / Credentials Updated March 07, 2016

Recorded as NICOLE GILSON, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2016

Nurse Practitioner (License #284105 in MA)

🟢

Initial NPI Registration & Enumeration July 06, 2011

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: 1023305596

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 06, 2011

Last Update: October 27, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

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.