KERRI B GOSSELIN (MD) – Pediatric Gastroenterology Physician, NPI 1447418496

KERRI B GOSSELIN (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in Pediatric Gastroenterology Physician. They hold the professional credentials MD. They hold a License No. 243621 (MA). The NPI Number for KERRI B GOSSELIN (MD) is 1447418496

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
KERRI B GOSSELIN (MD)
NPI
1447418496
Phone
(800) 225-8885
Address
PO BOX 415348
Enumeration Date
27 May 2008
Last Update Date
11 November 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
7744425695
Graduation Year
2007 (19 years ago)
PAC ID
0648424762
Group Practice PAC ID
4284539891
Professional Enrollment ID
I20130125000062

Contacts

Secure Messaging
kgosselin22779@UmassMemorial.direct-ci.com
FHIR Endpoint
https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

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Provider Addresses for KERRI B GOSSELIN (MD)

  • PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States

    BOSTON, MA 022415348

    Phone: (800) 225-8885

    Fax: (508) 334-1977

    Type: Mailing

  • UMASS Memorial Medical Center University Campus Hospital, 55, Lake Avenue North, Worcester, Worcester County, Massachusetts, 01653, United States

    WORCESTER, MA 016550002

    Phone: (774) 441-8082

    Fax: (774) 441-8056

    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: 2013-01-25

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
I20130125000062IGastroenterologyMATBD

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 02241)

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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: 4284539891View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MA
-MA
-MA
Family PracticeMA
Physician AssistantMA
Pulmonary Disease, Critical Care (Intensivists), Allergy/ImmunologyMA
-MA
-MA
Internal MedicineMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

How do payers reference KERRI B GOSSELIN (MD)?
For KERRI B GOSSELIN (MD), use NPI 1447418496 as the unique 10-digit identifier.
Active or inactive — what applies to KERRI B GOSSELIN (MD)?
You should see KERRI B GOSSELIN (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for KERRI B GOSSELIN (MD)?
At a glance, KERRI B GOSSELIN (MD) is tied to Pediatric Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is KERRI B GOSSELIN (MD) registered?
Use Boston, Massachusetts as the headline location for KERRI B GOSSELIN (MD) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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