CYNTHIA J AGUDOSI – Psychiatric/Mental Health Nurse Practitioner, NPI 1104605310

CYNTHIA J AGUDOSI is a healthcare provider. based in Brockton, Massachusetts. specializing in NURSE PRACTITIONER. They hold a License No. 2023101879 (MA). The NPI Number for CYNTHIA J AGUDOSI is 1104605310

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
CYNTHIA J AGUDOSI
NPI
1104605310
Phone
(774) 281-3646
Address
409 SPRING ST
Enumeration Date
26 September 2023
Last Update Date
26 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6178471950
Graduation Year
2023 (3 years ago)
PAC ID
2163871898
Group Practice PAC ID
4082508429
Professional Enrollment ID
I20231206004389
Address ID
MA021698130QU460XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for CYNTHIA J AGUDOSI

  • 409 SPRING ST

    BROCKTON, MA 023013632

    Phone: (774) 281-3646

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-12-06

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
I20231206004389INurse PractitionerMATBD

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
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes2323$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 02301)

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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: 4082508429View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)MA
-MA
-MA
Clinical Social WorkerMA
-MA
-MA
Clinical PsychologistMA
Clinical Social WorkerMA
Mental Health CounselorMA
Mental Health CounselorMA

Reviews

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Frequently asked questions

What is the standard ID for CYNTHIA J AGUDOSI in the U.S.?
In the U.S., CYNTHIA J AGUDOSI is identified by NPI 1104605310.
Should I treat CYNTHIA J AGUDOSI as an active provider?
Patients and plans typically see CYNTHIA J AGUDOSI as active in the national extract.
What type of care does CYNTHIA J AGUDOSI provide?
CYNTHIA J AGUDOSI's profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is CYNTHIA J AGUDOSI tied to Brockton, Massachusetts?
If you are local to Brockton, Massachusetts, CYNTHIA J AGUDOSI may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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