ANNE MARIE MARIE DICREDICO – Adult Health Nurse Practitioner, NPI 1902411341

ANNE MARIE MARIE DICREDICO is a healthcare provider. based in Saugus, Massachusetts. specializing in NURSE PRACTITIONER. They hold a License No. RN173023 (MA). The NPI Number for ANNE MARIE MARIE DICREDICO is 1902411341

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ANNE MARIE MARIE DICREDICO
NPI
1902411341
Phone
(781) 258-4561
Address
916 SHERWOOD FOREST LN UNIT 916
Enumeration Date
12 September 2020
Last Update Date
31 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7816204888
Graduation Year
2020 (6 years ago)
PAC ID
7517361991
Group Practice PAC ID
4385638782
Professional Enrollment ID
I20210806001372
Address ID
MA018804080WA888XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for ANNE MARIE MARIE DICREDICO

  • 916 SHERWOOD FOREST LN UNIT 916

    SAUGUS, MA 019061973

    Phone: (781) 258-4561

    Type: Mailing

  • 888 MAIN ST

    WAKEFIELD, MA 018804080

    Phone: (781) 620-4890

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2023-02-28 • Largest payer in this snapshot: KCI USA, Inc. ($17).

Total Amount

$30

General + Research + Ownership

Payments

2

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-28

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: 2021-08-06

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
I20210806001372INurse 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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes9866$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4637$0
99214Established patient office or other outpatient visit, 30-39 minutes3423$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2019$0
View full utilization report →

Insurance plans in this area (ZIP 01906)

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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: 4385638782View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Interventional CardiologyMA
-MA
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
Family PracticeNM
-MA
-MA
Family PracticeMA
-MA
Physician AssistantMA

Reviews

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Frequently asked questions

Can I verify ANNE MARIE MARIE DICREDICO with an NPI only?
You can start verification with NPI 1902411341 for ANNE MARIE MARIE DICREDICO, then check state licensing separately.
Does the file indicate ANNE MARIE MARIE DICREDICO is practicing under active NPI?
Directory data currently reports ANNE MARIE MARIE DICREDICO as active.
What is ANNE MARIE MARIE DICREDICO best known for clinically?
Directory data describes ANNE MARIE MARIE DICREDICO with Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for ANNE MARIE MARIE DICREDICO?
ANNE MARIE MARIE DICREDICO's geographic hint is Saugus, Massachusetts in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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