NICOLE ASHLEY DALUZ – Nurse Practitioner, NPI 1891367405

NICOLE ASHLEY DALUZ is a healthcare provider. based in Clinton, Massachusetts. specializing in NURSE PRACTITIONER. They hold a License No. RN2307153 (MA). The NPI Number for NICOLE ASHLEY DALUZ is 1891367405

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE ASHLEY DALUZ
NPI
1891367405
Phone
(978) 368-7631
Address
792 MAIN ST
Enumeration Date
13 July 2021
Deactivation Date
9 November 2021
Reactivation Date
30 December 2021
Last Update Date
27 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087983344
Graduation Year
2020 (6 years ago)
PAC ID
5395138085
Group Practice PAC ID
4284539891
Professional Enrollment ID
I20220201001535
Address ID
MA016053643WO291XXSTXX307
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for NICOLE ASHLEY DALUZ

  • 792 MAIN ST

    CLINTON, MA 015101608

    Phone: (978) 368-7631

    Type: Mailing

  • PO BOX 415348

    BOSTON, MA 022415348

    Phone: (800) 225-8885

    Fax: (508) 334-1977

    Type: Mailing

  • 792 Main St

    Clinton, MA 015101608

    Phone: (978) 368-7631

    Type: Location

  • 26 Julio Dr

    Shrewsbury, MA 015453020

    Phone: (508) 842-5594

    Fax: (508) 842-0989

    Type: Location

  • 291 LINCOLN ST

    WORCESTER, MA 016053643

    Phone: (508) 792-1788

    Fax: (508) 754-5109

    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: 2022-02-01

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
I20220201001535INurse 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
G0008Administration of influenza virus vaccine2525$0
99213Established patient office or other outpatient visit, 20-29 minutes2423$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage2323$0
90480Admn sarscov2 vacc 1 dose1818$0
91322Sarscov2 vac 50 mcg/0.5ml im1818$0
View full utilization report →

Insurance plans in this area (ZIP 01510)

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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 NICOLE ASHLEY DALUZ?
For NICOLE ASHLEY DALUZ, use NPI 1891367405 as the unique 10-digit identifier.
Is NICOLE ASHLEY DALUZ still an active registrant?
NICOLE ASHLEY DALUZ carries an active NPI according to the public dataset.
What clinical focus is listed for NICOLE ASHLEY DALUZ?
At a glance, NICOLE ASHLEY DALUZ is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with NICOLE ASHLEY DALUZ?
Directory geography for NICOLE ASHLEY DALUZ centers on Clinton, Massachusetts.
When was this NPI issued?
Enumeration for NICOLE ASHLEY DALUZ is noted as July 13, 2021 where the registry provides it.

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