Merredith Moreau, CNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN2277546 Issued in MA

Practice address

199 Chandler St
Worcester, MA 01609-3088

Phone

(508) 860-7888

Fax

(508) 796-7053

NPI assigned

Jul 18, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Merredith Collins Former name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Family Health Center of Worcester, Inc.Group PAC ID 4789670985, 94 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmoreau188635@direct.ochin.org
• Direct secure messaging: mmoreau47764@direct.ctc.masshiway.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Health Center of Worcester, Inc.

  • Federally Qualified Health Center (FQHC)
  • Worcester, MA
  • NPI 1841200664
  Medicare reassignment Care Compare group NPD
• Joslin Clinic Inc

  • Multi-Specialty Clinic/Center
  • Boston, MA
  • NPI 1528003621
  Medicare reassignment NPD
• Family Health Center of Worcester, Inc.

  • Clinic Pharmacy
  • Worcester, MA
  • NPI 1447399225
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1255715207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 CHANDLER ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016093088",
            "telephone_number": "508-860-7888",
            "fax_number": "508-796-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 CHANDLER ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016093088",
            "telephone_number": "508-860-7888",
            "fax_number": "508-796-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREAU",
        "first_name": "MERREDITH",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-18",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN2277546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERREDITH",
            "last_name": "COLLINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Armenia Mordan Vasquez, MD
• Angelica Dileisy Mordan
• John P Mordes, M.D.
• Jillian Ann Moreau
• Laura Ann Moreau, NNP
• Amanda Moreira
• Ereka Moreira
• Austin Moreland
• Gennissey Morello
• Anabel Moreno

• Adult Health Nurse Practitioner in Worcester, MA
• Providers in Worcester, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.