MICHELLE DEDON (FNP) – Family Nurse Practitioner, NPI 1669960274

MICHELLE DEDON (FNP) is a healthcare provider. based in Leominster, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN262213 (MA). The NPI Number for MICHELLE DEDON (FNP) is 1669960274

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE DEDON (FNP)
NPI
1669960274
Phone
(785) 346-5009
Address
225 NEW LANCASTER RD
Enumeration Date
30 April 2018
Last Update Date
26 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7742954355
Graduation Year
2018 (8 years ago)
PAC ID
0941559108
Group Practice PAC ID
5193186492
Professional Enrollment ID
I20180821002304
Address ID
MA020193007BE245XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

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Provider Addresses for MICHELLE DEDON (FNP)

  • 225, New Lancaster Road, Gates Crossing, Leominster, Worcester County, Massachusetts, 01453, United States

    LEOMINSTER, MA 014534958

    Phone: (785) 346-5009

    Type: Mailing

  • 139 Main Street

    Spencer, MA 01562

    Phone: (774) 227-3556

    Fax: (508) 213-9008

    Type: Location

  • 575 Beech St

    Holyoke, MA 010402223

    Phone: (413) 534-2500

    Type: Location

  • 360 US HIGHWAY 1 BYP UNIT 102

    PORTSMOUTH, NH 038017105

    Phone: (603) 410-6700

    Fax: (603) 309-9601

    Type: Mailing

  • 471 CENTER ST

    LUDLOW, MA 010562733

    Phone: (413) 625-3500

    Fax: (413) 625-3655

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $1,072.

Total Amount is formed as General ($1,072) + Research ($0) + Ownership ($0) = $1,072.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Lundbeck LLC ($214).

Total Amount

$1,072

General + Research + Ownership

Payments

38

Total payment records

General Amount

$1,072

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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: 2018-08-21

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
I20180821002304INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes20576$0
36415Insertion of needle into vein for collection of blood sample5739$0
99213Established patient office or other outpatient visit, 20-29 minutes5238$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4444$0
View full utilization report →

Insurance plans in this area (ZIP 01453)

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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: 5193186492View full group profile
NameSpecialtyState
Physician AssistantME
Physician AssistantNH
Physician AssistantNH
Physician AssistantNH
Nurse PractitionerNH
Physician AssistantMA
Emergency MedicineCA
Physician AssistantMA
Physician AssistantMA
Physician AssistantMA

Reviews

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Frequently asked questions

What federal number belongs to MICHELLE DEDON (FNP)?
The federal identifier for MICHELLE DEDON (FNP) is NPI 1669960274.
Does this profile mean MICHELLE DEDON (FNP) is currently active?
Yes — MICHELLE DEDON (FNP) appears active in the national provider directory.
Does MICHELLE DEDON (FNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MICHELLE DEDON (FNP). Clinical services aligned with this taxonomy classification.
Where is MICHELLE DEDON (FNP)'s primary listing?
We display Leominster, Massachusetts because that is what the record indicates for MICHELLE DEDON (FNP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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