Individual provider Active NPI

Nicole Winters, M.D.

  • Family Medicine Physician
  • Leominster, MA
National Provider Identifier
1649478215
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
242860 Issued in MA
Practice address
225 New Lancaster Road
Leominster, MA 01453-4958
Phone
(978) 466-3208
Fax
(978) 840-1680
NPI assigned
Jul 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 242860 MA Primary

Addresses

Primary practice location

225 New Lancaster Road
Leominster, MA 01453-4958

Mailing address

5 Neponset St FL Street2
Worcester, MA 01606-2714
Phone (978) 466-3208

Other identifiers 1

IdentifierTypeStateIssuer
110085847AMedicaidMA

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100809000788 MA Practitioner - Family PracticePractitioner - Other (Physician) 6103959366 Reassigns benefits to 1 organization
Practice locations: Gardner, MA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Massachusetts Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliant Medical Group IncGroup PAC ID 5597755322, 638 clinicians

Practice addresses (Care Compare)

225 New Lancaster Rd
Leominster, MA 01453-4958
Phone (978) 534-6500

5 Neponset St
Worcesteer, MA 01606-2714
Phone (508) 595-2300

900 Union St
Westborough, MA 01581-5408
Phone (508) 366-8836

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
242860MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Medical Group, Inc Family Medicine CurrentSince Apr 1, 2013 Accepting new patients
David C. Flemming MD PLLC Past Accepting new patients
Heywood Medical Group Inc. Family Medicine Past Accepting new patients
Reliant Medical Group, Inc Past Accepting new patients

Locations

225 New Lancaster Rd
Leominster, MA 01453
Phone (978) 466-3208

630 Plantation St
Fl 12
Worcester, MA 01605
Phone (508) 368-5529

5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300

5 Neponset St
#2
Worcester, MA 01606

Interoperability endpoints

  • Direct secure messaging: nicole.winters.npi1649478215.reliant@direct.optumcare.masshiway.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1649478215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 NEPONSET ST FL STREET2",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062714",
            "telephone_number": "978-466-3208",
            "fax_number": "978-840-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 NEW LANCASTER ROAD",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014534958",
            "telephone_number": "978-466-3208",
            "fax_number": "978-840-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "242860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110085847A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.