MR. PAUL J LAVALLEE (NP) – Nurse Practitioner, NPI 1770558009

MR. PAUL J LAVALLEE (NP) is a healthcare provider. based in Fairhaven, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN212006 (MA). The NPI Number for MR. PAUL J LAVALLEE (NP) is 1770558009

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
MR. PAUL J LAVALLEE (NP)
NPI
1770558009
Phone
(508) 973-2000
Address
200 MILL RD
Enumeration Date
21 February 2006
Last Update Date
18 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5083341000
Graduation Year
2001 (25 years ago)
PAC ID
3971518911
Group Practice PAC ID
4284539891
Professional Enrollment ID
I20060213000761
Address ID
MA016550002WO55XXXNXXX400

Contacts

Secure Messaging
plavallee31721@UmassMemorial.direct-ci.com
FHIR Endpoint
https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

8,971 NURSE PRACTITIONER in MA

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Provider Addresses for MR. PAUL J LAVALLEE (NP)

  • 200, Mill Road, Nasketucket, Fairhaven, Bristol County, Massachusetts, 02719, United States

    STE 180

    FAIRHAVEN, MA 027195252

    Phone: (508) 973-2000

    Fax: (508) 973-2001

    Type: Mailing

  • Saint Luke's Hospital, 101, Page Street, New Bedford, Bristol County, Massachusetts, 02740, United States

    NEW BEDFORD, MA 027403464

    Phone: (508) 961-5610

    Fax: (508) 985-2199

    Type: Location

  • PO BOX 415348

    BOSTON, MA 022415348

    Phone: (800) 225-8885

    Fax: (508) 334-1977

    Type: Mailing

  • 55 LAKE AVE N

    WORCESTER, MA 016550002

    Phone: (774) 442-2593

    Fax: (774) 443-7066

    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: 2006-02-13

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
I20060213000761INurse 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
99292Critical care, each additional 30 minutes2714$0
99291Critical care, first 30-74 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 02719)

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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

What NPI should I save for MR. PAUL J LAVALLEE (NP)?
Save NPI 1770558009 if you need a stable reference for MR. PAUL J LAVALLEE (NP).
Is MR. PAUL J LAVALLEE (NP) active in the national directory?
MR. PAUL J LAVALLEE (NP)'s public NPI profile is in an active state.
Can you summarize MR. PAUL J LAVALLEE (NP)'s specialty in plain language?
Clinically, the directory lists MR. PAUL J LAVALLEE (NP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MR. PAUL J LAVALLEE (NP) practice in Massachusetts?
You will see Fairhaven, Massachusetts on file for MR. PAUL J LAVALLEE (NP) alongside any extra practice locations.
How can I contact MR. PAUL J LAVALLEE (NP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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