MACY GLEASON (FNP-C) – Family Nurse Practitioner, NPI 1972324952

MACY GLEASON (FNP-C) is a healthcare provider. based in Lisbon, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 14024 (CT). The NPI Number for MACY GLEASON (FNP-C) is 1972324952

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MACY GLEASON (FNP-C)
NPI
1972324952
Phone
(860) 840-1523
Address
71 KINSMAN HILL ROAD
Enumeration Date
22 October 2024
Last Update Date
22 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8608897345
Graduation Year
2024 (2 years ago)
PAC ID
4385171081
Group Practice PAC ID
6709820798
Professional Enrollment ID
I20241219000291
Address ID
CT062541807NO82XXXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

4,196 NURSE PRACTITIONER in CT

Provider Addresses for MACY GLEASON (FNP-C)

  • 71 KINSMAN HILL ROAD

    LISBON, CT 06351

    Phone: (860) 840-1523

    Type: Mailing

  • 82 NEW PARK AVE

    NORTH FRANKLIN, CT 06254

    Phone: (860) 889-7345

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2024-12-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241219000291INurse PractitionerCTTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06351)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709820798View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCT
-CT
-CT
Physical Therapist In Private PracticeCT
Physician AssistantCT
Orthopedic SurgeryCT
Physician AssistantCT
Physical Therapist In Private PracticeCT
Orthopedic SurgeryRI
Physical Therapist In Private PracticeCT

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to MACY GLEASON (FNP-C)?
The federal identifier for MACY GLEASON (FNP-C) is NPI 1972324952.
Is MACY GLEASON (FNP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MACY GLEASON (FNP-C) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MACY GLEASON (FNP-C). Clinical services aligned with this taxonomy classification.
Where is MACY GLEASON (FNP-C)'s primary listing?
We display Lisbon, Connecticut because that is what the record indicates for MACY GLEASON (FNP-C).
What if Lisbon, Connecticut seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

Similar Providers

ANDREA L RICKARD (APRN, BC)

Family Nurse Practitioner
72, Ames Road, Lisbon, New London County, Connecticut, 06351, United States
NPI: 1578757159

MICHELLE L ALLYN (APRN)

Family Nurse Practitioner
192, Center Street, Manchester, Clay County, Kentucky, 40962, United States
NPI: 1891205316

TONIA SOPER (APRN-C)

Family Nurse Practitioner
15 BARBER FARM RD
NPI: 1720863814