MRS. ALEXANDRA CATHERINE DISTASO FNP-BC
NPI 1710367560
Nurse Practitioner - Family in Boston, MA
NPI Status: Active since June 08, 2015
Contact Information
450 BROOKLINE AVE
BOSTON, MA
ZIP 02215
Phone: (617) 632-4218
Fax: (617) 632-6624
- Individual
- Female
- Nurse Practitioner
- Family
- PECOS Enrolled
About ALEXANDRA DISTASO
This page provides the complete NPI Profile along with additional information for Alexandra Distaso, a provider established in Boston, Massachusetts with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1710367560 assigned on June 2015. The practitioner's primary taxonomy code is 363LF0000X with license number RN2280088 (MA). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1710367560
- Provider Name
- MRS. ALEXANDRA CATHERINE DISTASO FNP-BC
- Other Name
- MS. ALEXANDRA CATHERINE MULLOY FNP-BC
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 450 BROOKLINE AVE BOSTON, MA 02215
- Location Phone
- (617) 632-4218
- Location Fax
- (617) 632-6624
- Mailing Address
- 450 BROOKLINE AVE BOSTON, MA 02215
- Mailing Phone
- (617) 632-4218
- Mailing Fax
- (617) 632-6624
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-08-2015
- Last Update Date
- 05-06-2020
- Code Navigator
A nurse practitioner (NP) like Alexandra Distaso is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- RN2280088
- License State
- MA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110105490A | MEDICAID (05) | MA |
Medicare Participation & PECOS Enrollment Status
Alexandra Distaso is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02215 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $97.64
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $24.41
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111.18
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $27.79
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MRS. ALEXANDRA CATHERINE DISTASO FNP-BC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 1 | 0 | 3 | 6 | 7 | 5 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 6 | 6 | 14 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 6 + 6 + 1 + 4 + 5 + 1 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1710367560 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1942297189 | DR. RACHEL ANN FREEDMAN M.D. Individual | Internal Medicine | 450 BROOKLINE AVE BOSTON, MA 02215 (617) 632-6973 |
| 1659361327 | DR. ROBERT JAMES MAYER MD Individual | Internal Medicine (Medical Oncology) | 450 BROOKLINE AVE DANA FARBER CANCER INSTITUTE, D-1608 BOSTON, MA 02215 (617) 632-3474 |
| 1942282041 | DR. JOSEPH O JACOBSON MD Individual | Internal Medicine (Medical Oncology) | 450 BROOKLINE AVE DANA-FARBER CANCER INSTITUTE, D1234 BOSTON, MA 02215 (617) 632-3468 |
| 1164401626 | DR. DAVID BARBIE MD Individual | Internal Medicine (Hematology & Oncology) | 450 BROOKLINE AVE DANA 1234 BOSTON, MA 02215 (617) 632-3468 |
| 1295706224 | DR. DAVID R D'ADAMO MD Individual | Internal Medicine (Medical Oncology) | 450 BROOKLINE AVE BOSTON, MA 02215 (617) 632-5204 |
| 1922079870 | DEBORAH SCHRAG MD Individual | Internal Medicine (Medical Oncology) | 450 BROOKLINE AVE BOSTON, MA 02215 (617) 582-8301 |
| 1295707529 | DAVID M WEINSTOCK MD Individual | Internal Medicine (Medical Oncology) | 450 BROOKLINE AVE BOSTON, MA 02215 (617) 632-4245 |
| 1346217932 | RANI E GEORGE MD PHD Individual | Pediatrics (Pediatric Hematology-Oncology) | 450 BROOKLINE AVE DANA 322 DEPT OF PEDIATRIC ONCOLOGY BOSTON, MA 02215 (617) 632-5281 |
| 1841267093 | DR. GEORGE D DEMETRI MD Individual | Internal Medicine (Medical Oncology) | 450 BROOKLINE AVE DFCI, D1212 BOSTON, MA 02215 (617) 632-3985 |
| 1407824659 | JEROME RITZ MD Individual | Internal Medicine (Hematology) | 450 BROOKLINE AVE M530, DANA-FARBER CANCER INSTITUTE BOSTON, MA 02215 (617) 632-3465 |
| 1629046776 | LEROY MONROE PARKER MD Individual | Internal Medicine (Medical Oncology) | 450 BROOKLINE AVE DANA-FARBER CANCER INSTITUTE BOSTON, MA 02215 (617) 632-3427 |
| 1346209731 | DR. RICHARD D. GOLDSTEIN MD Individual | Pediatrics (Hospice and Palliative Medicine) | 450 BROOKLINE AVE SW411 BOSTON, MA 02215 (617) 632-6637 |
| 1578523866 | BRUCE EVAN JOHNSON MD Individual | Internal Medicine (Medical Oncology) | 450 BROOKLINE AVE DANA-FARBER CANCER INSTITUTE BOSTON, MA 02215 (617) 632-4790 |
| 1457313652 | WILLIAM CHUN HAHN MD PHD Individual | Internal Medicine (Medical Oncology) | 450 BROOKLINE AVE DANA-FARBER CANCER INSTITUTE BOSTON, MA 02215 (617) 632-2641 |
| 1326001215 | ROBERT LAWRENCE SCHLOSSMAN MD Individual | Internal Medicine (Medical Oncology) | 450 BROOKLINE AVE M229 BOSTON, MA 02215 (613) 632-5126 |
| 1639239668 | MRS. KRISTIN LOUISE MANGADA Individual | Nurse Practitioner | 450 BROOKLINE AVE D315 BOSTON, MA 02215 (617) 632-3796 |
| 1518029545 | DR. PETER S. HAMMERMAN MD, PHD Individual | Internal Medicine (Medical Oncology) | 450 BROOKLINE AVE DANA FARBER CANCER INSTITUTE BOSTON, MA 02215 (617) 632-3000 |
| 1073677209 | TONI K CHOUEIRI M.D. Individual | Internal Medicine (Medical Oncology) | 450 BROOKLINE AVE D1230 BOSTON, MA 02215 (617) 632-5456 |
| 1811048333 | DR. SUSAN MOODY M.D., PH.D. Individual | Internal Medicine (Medical Oncology) | 450 BROOKLINE AVE DANA-FARBER CANCER INSTITUTE BOSTON, MA 02215 (617) 632-3000 |
| 1285760934 | DR. NADINE JACKSON MC CLEARY MD, MPH Individual | Internal Medicine (Hematology & Oncology) | 450 BROOKLINE AVE D1220 BOSTON, MA 02215 (617) 632-6729 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710367560, enumerated in the NPI registry as an "individual" on June 08, 2015
The provider is located at 450 Brookline Ave Boston, Ma 02215 and the phone number is (617) 632-4218
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $97.64 with an average copayment of $24.41 for new patient appointments. Established patients should expect a typical charge of $111.18 and an average copayment of 27.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 08, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.