LORI A GAUTHIER (RN, CNP) – Nurse Practitioner, NPI 1164749917

LORI A GAUTHIER (RN, CNP) is a healthcare provider. based in Worcester, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, CNP. They hold a License No. 341532 (NY). The NPI Number for LORI A GAUTHIER (RN, CNP) is 1164749917

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
LORI A GAUTHIER (RN, CNP)
NPI
1164749917
Phone
(508) 363-5000
Address
123 Summer St
Enumeration Date
3 May 2010
Last Update Date
13 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2604352699
Graduation Year
2010 (16 years ago)
PAC ID
8022205301
Group Practice PAC ID
6507808946
Professional Enrollment ID
I20250128001006
Address ID
IN468044140FO7950XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness85
Years active:16State licenses:8Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for LORI A GAUTHIER (RN, CNP)

  • 123 Summer St

    Worcester, MA 016081216

    Phone: (508) 363-5000

    Type: Location

  • PO BOX 635004

    CINCINNATI, OH 452635004

    Phone: (888) 952-6772

    Type: Location

  • 7950 W Jefferson Blvd

    Fort Wayne, IN 468044140

    Phone: (888) 952-6772

    Type: Location

  • 2139 AUBURN AVE

    ML 11013

    CINCINNATI, OH 452192906

    Phone: (513) 636-5535

    Fax: (513) 636-9653

    Type: Mailing

  • 3333 BURNET AVE.

    ML 11013

    CINCINNATI, OH 452293039

    Phone: (513) 636-5535

    Fax: (513) 636-9653

    Type: Location

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 $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

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: 2025-01-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 13 Medicare enrollment records; no due dates published yet.

Enrollment records

13

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
I20101213000662INurse PractitionerOHTBD
I20170308000477INurse PractitionerNYTBD
I20180208001311INurse PractitionerNJTBD
I20200810002442INurse PractitionerCTTBD
I20201216002707INurse PractitionerRITBD
I20211027000322INurse PractitionerPATBD
I20230607000409INurse PractitionerVATBD
I20230626001194INurse PractitionerMATBD
I20230726002439INurse PractitionerFLTBD
I20231024000552INurse PractitionerMSTBD
I20231107001562INurse PractitionerGATBD
I20240327003763INurse PractitionerKYTBD
I20250128001006INurse PractitionerINTBD

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
99285Emergency department visit with high level of medical decision making7676$0
99284Emergency department visit with moderate level of medical decision making6464$0
99283Emergency department visit with low level of medical decision making1717$0
View full utilization report →

Insurance plans in this area (ZIP 01608)

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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: 6507808946View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerMI
-IN
Nurse PractitionerIN
Nurse PractitionerIN

Reviews

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Frequently asked questions

Can I use this page to confirm LORI A GAUTHIER (RN, CNP)'s NPI?
Yes. LORI A GAUTHIER (RN, CNP) is listed with NPI 1164749917 in the public NPI dataset.
Does CMS list LORI A GAUTHIER (RN, CNP) as active?
Yes — LORI A GAUTHIER (RN, CNP) is active in the NPI listing used on this page.
What taxonomy line describes LORI A GAUTHIER (RN, CNP)?
For research purposes, treat LORI A GAUTHIER (RN, CNP) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for LORI A GAUTHIER (RN, CNP)?
LORI A GAUTHIER (RN, CNP)'s geographic hint is Worcester, Massachusetts in our summary view.
Is the information about LORI A GAUTHIER (RN, CNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."