STEFANIE J. MCCREDIE (NP) – Nurse Practitioner, NPI 1821274242

STEFANIE J. MCCREDIE (NP) is a healthcare provider. based in Pembroke, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 235811 (MA). The NPI Number for STEFANIE J. MCCREDIE (NP) is 1821274242

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
STEFANIE J. MCCREDIE (NP)
NPI
1821274242
Phone
(339) 244-3033
Address
296 Old Oak St
Enumeration Date
16 January 2008
Last Update Date
12 December 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
3392443033
Graduation Year
2003 (23 years ago)
PAC ID
0042380958
Group Practice PAC ID
5193186492
Professional Enrollment ID
I20080604000428
Address ID
MA023591981PE296XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

9,049 NURSE PRACTITIONER in MA

Provider Addresses for STEFANIE J. MCCREDIE (NP)

  • 296 Old Oak St

    Pembroke, MA 023591981

    Phone: (339) 244-3033

    Fax: (339) 244-3005

    Type: Location

  • 31, Roche Brothers Way, Easton, Bristol County, Massachusetts, 02072, United States

    TWO WASHINGTON PLACE, SUITE 130

    NORTH EASTON, MA 023561032

    Phone: (508) 894-8730

    Fax: (508) 894-8732

    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: 2008-06-04

PECOS data refreshed: 2026-06-15

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
I20080604000428INurse 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 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 02359)

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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 AssistantMA
Physician AssistantNH
Physician AssistantNH
Physician AssistantNH
Physician AssistantMA
Physician AssistantMA
Emergency MedicineCA
Physician AssistantMA
Physician AssistantMA

Reviews

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Frequently asked questions

What unique ID ties claims to STEFANIE J. MCCREDIE (NP)?
NPI 1821274242 is assigned to STEFANIE J. MCCREDIE (NP) under the national enumeration system.
Is STEFANIE J. MCCREDIE (NP) currently active in the NPI registry?
CMS-published data lists STEFANIE J. MCCREDIE (NP) as an active registrant.
Can you summarize STEFANIE J. MCCREDIE (NP)'s specialty in plain language?
Clinically, the directory lists STEFANIE J. MCCREDIE (NP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does STEFANIE J. MCCREDIE (NP) practice in Massachusetts?
You will see Pembroke, Massachusetts on file for STEFANIE J. MCCREDIE (NP) alongside any extra practice locations.
Is STEFANIE J. MCCREDIE (NP) a real provider?
This page reflects official NPPES data for NPI 1821274242. Always confirm identity and privileges with the practice and licensing boards.

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