MS. NICOLE ALYSE GENDREAU (FNP) – Family Nurse Practitioner, NPI 1043701998

MS. NICOLE ALYSE GENDREAU (FNP) is a healthcare provider. based in Swampscott, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN2321725 (MA). The NPI Number for MS. NICOLE ALYSE GENDREAU (FNP) is 1043701998

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MS. NICOLE ALYSE GENDREAU (FNP)
NPI
1043701998
Phone
(781) 596-2000
Address
250 PARADISE RD
Enumeration Date
27 May 2018
Last Update Date
25 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2039772566
Graduation Year
2019 (7 years ago)
PAC ID
6608107214
Group Practice PAC ID
6901099746
Professional Enrollment ID
I20230508001134
Address ID
CT069022594ST32XXXCTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

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Provider Addresses for MS. NICOLE ALYSE GENDREAU (FNP)

  • 250, Paradise Road, Swampscott, Essex County, Massachusetts, 01907-1907, United States

    SWAMPSCOTT, MA 019072948

    Phone: (781) 596-2000

    Type: Location

  • 32 STRAWBERRY HILL COURT

    4TH FLOOR, SUITE 6

    STAMFORD, CT 06902

    Phone: (203) 276-2566

    Fax: (203) 276-2568

    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: 2023-05-08

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
I20230508001134INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes124109$0
99214Established patient office or other outpatient visit, 30-39 minutes8375$0
36415Insertion of needle into vein for collection of blood sample1211$0
87804Detection test by immunoassay with direct visual observation for influenza virus1111$0
View full utilization report →

Insurance plans in this area (ZIP 01907)

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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: 6901099746View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCT
Physician AssistantCT
Family PracticeCT
Physician AssistantCT
P S Y C H I A T R YCT
O B S T E T R I C S/ G Y N E C O L O G YCT
O B S T E T R I C S/ G Y N E C O L O G YCT
Physician AssistantCT
Internal MedicineNY
Nurse PractitionerCT

Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. NICOLE ALYSE GENDREAU (FNP)?
MS. NICOLE ALYSE GENDREAU (FNP) — NPI 1043701998 — is the standard way to identify this listing.
Does CMS list MS. NICOLE ALYSE GENDREAU (FNP) as active?
Yes — MS. NICOLE ALYSE GENDREAU (FNP) is active in the NPI listing used on this page.
What is MS. NICOLE ALYSE GENDREAU (FNP)'s primary classification?
Family Nurse Practitioner is the headline specialty for MS. NICOLE ALYSE GENDREAU (FNP) here. Clinical services aligned with this taxonomy classification.
What area does MS. NICOLE ALYSE GENDREAU (FNP) serve?
MS. NICOLE ALYSE GENDREAU (FNP)'s listing highlights Swampscott, Massachusetts; more addresses can appear in NPPES.
Is the information about MS. NICOLE ALYSE GENDREAU (FNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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