AUDRY GORMAN (CRNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1902828155
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
851 PSYCHIATRY in CT
Provider Addresses for AUDRY GORMAN (CRNP)
540 LITCHFIELD ST
TORRINGTON, CT 067906679
Phone: (972) 449-0540
Type: Location
6718 Ridgecrest Cir
Mc Calla, AL 351113960
Phone: (205) 475-3908
Type: Location
165 E Hawthorne Ave
Colville, WA 991142629
Phone: (205) 475-3908
Type: Location
6718 RIDGECREST CIR
MC CALLA, AL 351113960
Phone:
Type: Mailing
6th Avenue South, Richmond Place, Birmingham, Jefferson County, Alabama, 35222, United States
BIRMINGHAM, AL 35233
Phone: (205) 475-3908
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-06-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 11 Medicare enrollment records; no due dates published yet.
Enrollment records
11
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150402000864 | I | Nurse Practitioner | AL | TBD |
| I20190321002787 | I | Nurse Practitioner | WA | TBD |
| I20230131002273 | I | Nurse Practitioner | NV | TBD |
| I20240910002244 | I | Nurse Practitioner | UT | TBD |
| I20241211003233 | I | Nurse Practitioner | NC | TBD |
| I20250304000545 | I | Nurse Practitioner | CT | TBD |
| I20250312000991 | I | Nurse Practitioner | TX | TBD |
| I20250316000087 | I | Nurse Practitioner | VA | TBD |
| I20250318003695 | I | Nurse Practitioner | ID | TBD |
| I20250321000121 | I | Nurse Practitioner | FL | TBD |
| I20250625002296 | I | Psychiatry | IA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q3014 | Telehealth originating site facility fee | 94 | 19 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 66 | 17 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 44 | 16 | $0 |
Insurance plans in this area (ZIP 06790)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Infectious Disease, Internal Medicine | PA | |
| P S Y C H I A T R Y | CA | |
| N E U R O L O G Y | TX | |
| Internal Medicine, Nephrology | WI | |
| Internal Medicine | TX | |
| - | NY | |
| - | SC | |
| Hospitalist, Internal Medicine, Pulmonary Disease | SC | |
| Internal Medicine, Hospitalist | NE |
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