National Provider Identifier

Nicole Dettmann, PA

Nicole Dettmann, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 421-1000.

NPI 1619931813Boston, MAPhysician Assistant

Source: public NPPES record, last updated August 07, 2007. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1619931813
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
April 14, 2006
Last Updated
August 07, 2007

Practice Location

  • 133 Brookline Ave
  • Boston, MA 02215-3904

Phone: (617) 421-1000

Mailing Address

  • 147 Milk St
  • Provider Enrollment - 9Th Floor
  • Boston, MA 02109-4806

Specialties

  • Physician Assistant (363A00000X)
  • Medical Physician Assistant (363AM0700X)

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Biography

Nicole Dettmann, DSc, MPH, PA-C, DFAAPA, is a physician assistant and PA educator who serves as a Professor, Associate Program Director, and Director of Clinical Education at MCPHS. She also practices in the emergency department at Newton-Wellesley Hospital and was named an AAPA Distinguished Fellow in 2025, following her selection as AAPA’s 2020 PA of the Year for work spanning clinical practice, PA education, mentorship, and long-running volunteer service in Bolivia.

Related Providers

These published providers share the same primary specialty and city. This is a directory relationship, not a recommendation or verified affiliation.

Full Record
NPI
1619931813
Entity Type
Individual
Last Name
Dettmann
First Name
Nicole
Credential
PA
Mailing Street Address
147 Milk St
Mailing Address Line 2
Provider Enrollment - 9Th Floor
Mailing City
Boston
Mailing State
MA
Mailing ZIP Code
02109-4806
Mailing Country
US
Mailing Phone
(617) 559-8053
Mailing Fax
(617) 421-3487
Practice Street Address
133 Brookline Ave
Practice City
Boston
Practice State
MA
Practice ZIP Code
02215-3904
Practice Country
US
Practice Phone
(617) 421-1000
Practice Fax
(617) 421-6084
Enumeration Date
April 14, 2006
Last Updated
August 07, 2007
Sex
Female
Sole Proprietor
No
Taxonomies
Physician Assistant (363A00000X), Medical Physician Assistant (363AM0700X)