MS. BRONWYN EMILY ALFRED (FNP) – Family Nurse Practitioner, NPI 1164843843

MS. BRONWYN EMILY ALFRED (FNP) is a healthcare provider. based in Worcester, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN2281795 (MA). The NPI Number for MS. BRONWYN EMILY ALFRED (FNP) is 1164843843

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MS. BRONWYN EMILY ALFRED (FNP)
NPI
1164843843
Phone
(508) 854-2122
Address
650 Lincoln St
Enumeration Date
23 December 2013
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
5088521805
Graduation Year
2015 (11 years ago)
PAC ID
0749583417
Group Practice PAC ID
3476512740
Professional Enrollment ID
I20160129001897
Address ID
MA016053516WO19XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for MS. BRONWYN EMILY ALFRED (FNP)

  • 650 Lincoln St

    Credentialing

    Worcester, MA 016052060

    Phone: (508) 854-2122

    Fax: (508) 853-8593

    Type: Location

  • 650 LINCOLN ST

    CREDENTIALING

    WORCESTER, MA 016052060

    Phone: (508) 854-2122

    Fax: (508) 853-8593

    Type: Mailing

  • 19 TACOMA ST

    WORCESTER, MA 016053516

    Phone: (508) 852-1805

    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: 2016-01-29

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
I20160129001897INurse 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.

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

Insurance plans in this area (ZIP 01605)

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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: 3476512740View full group profile
NameSpecialtyState
Internal Medicine, Addiction MedicineMA
P S Y C H I A T R YMA
Nurse PractitionerNH
-MA
Physician AssistantMA
Nurse PractitionerMA
Family PracticeMA
Physician AssistantMA
Family PracticeRI
Family PracticeMA

Reviews

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Frequently asked questions

Can I use this page to confirm MS. BRONWYN EMILY ALFRED (FNP)'s NPI?
Yes. MS. BRONWYN EMILY ALFRED (FNP) is listed with NPI 1164843843 in the public NPI dataset.
Is MS. BRONWYN EMILY ALFRED (FNP) listed as active for patients and plans?
The listing shows MS. BRONWYN EMILY ALFRED (FNP) as active in the NPI system.
What is MS. BRONWYN EMILY ALFRED (FNP)'s primary classification?
Family Nurse Practitioner is the headline specialty for MS. BRONWYN EMILY ALFRED (FNP) here. Clinical services aligned with this taxonomy classification.
Where should I expect MS. BRONWYN EMILY ALFRED (FNP) on a map?
Expect Worcester, Massachusetts as a primary anchor for MS. BRONWYN EMILY ALFRED (FNP) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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