KIMBERLY ANN PICCOLI (DO) – Psychiatry Physician, NPI 1356979132

KIMBERLY ANN PICCOLI (DO) is a healthcare provider. based in Milford, Massachusetts. specializing in PSYCHIATRY. They hold the professional credentials DO. They hold a License No. 1015770 (MA). The NPI Number for KIMBERLY ANN PICCOLI (DO) is 1356979132

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY ANN PICCOLI (DO)
NPI
1356979132
Phone
(508) 856-0732
Address
101 CEDAR ST
Enumeration Date
29 March 2020
Last Update Date
27 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5085952300
Graduation Year
2020 (6 years ago)
PAC ID
2860811650
Group Practice PAC ID
5597755322
Professional Enrollment ID
I20240823002943
Address ID
MA016062714WO5XXXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

1,743 PSYCHIATRY in MA

Provider Addresses for KIMBERLY ANN PICCOLI (DO)

  • 101 CEDAR ST

    MILFORD, MA 017571101

    Phone: (508) 856-0732

    Type: Mailing

  • 55 LAKE AVE N

    WORCESTER, MA 016550002

    Phone:

    Type: Mailing

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: 2024-08-23

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
I20240823002943IPsychiatryMATBD

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 01757)

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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: 5597755322View full group profile
NameSpecialtyState
D E R M A T O L O G YMA
Internal MedicineMA
-MA
-MA
Emergency MedicineMA
Physical Therapist In Private PracticeMA
Physician AssistantMA
Family PracticeMA
Clinical PsychologistMA
-MA

Reviews

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Frequently asked questions

How do payers reference KIMBERLY ANN PICCOLI (DO)?
For KIMBERLY ANN PICCOLI (DO), use NPI 1356979132 as the unique 10-digit identifier.
Is KIMBERLY ANN PICCOLI (DO) shown as active in public data?
Registry records indicate KIMBERLY ANN PICCOLI (DO) maintains an active NPI.
What area of care is associated with KIMBERLY ANN PICCOLI (DO)?
KIMBERLY ANN PICCOLI (DO)'s record emphasizes Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with KIMBERLY ANN PICCOLI (DO)?
Directory geography for KIMBERLY ANN PICCOLI (DO) centers on Milford, Massachusetts.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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