TRISTA BRITTANY PHANEUF (CNM) – Advanced Practice Midwife, NPI 1942580261

TRISTA BRITTANY PHANEUF (CNM) is a healthcare provider. based in Concord, Massachusetts. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. 276591 (MA). The NPI Number for TRISTA BRITTANY PHANEUF (CNM) is 1942580261

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
TRISTA BRITTANY PHANEUF (CNM)
NPI
1942580261
Phone
(978) 371-1396
Address
131 OLD ROAD TO 9 ACRE COR
Enumeration Date
17 August 2011
Last Update Date
18 October 2016

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
5083635000
Graduation Year
2011 (15 years ago)
PAC ID
5991964199
Group Practice PAC ID
5597755322
Professional Enrollment ID
I20120307000642
Address ID
MA016081216WO123XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

271 CERTIFIED NURSE MIDWIFE (CNM) in MA

Provider Addresses for TRISTA BRITTANY PHANEUF (CNM)

  • 131 OLD ROAD TO 9 ACRE COR

    JOHN CUMING BUILDING SUITE 830

    CONCORD, MA 017424181

    Phone: (978) 371-1396

    Fax: (978) 371-8277

    Mailing address matches the actual address.

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: 2012-03-07

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
I20120307000642ICertified Nurse Midwife (Cnm)MATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01742)

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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: 5597755322View full group profile
NameSpecialtyState
D E R M A T O L O G YMA
Internal MedicineMA
-MA
-MA
Emergency MedicineMA
Physical Therapist In Private PracticeMA
Physician AssistantMA
Family PracticeMA
Clinical PsychologistMA
-MA

Reviews

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Frequently asked questions

What identifier follows TRISTA BRITTANY PHANEUF (CNM) across health systems?
The NPI 1942580261 uniquely identifies TRISTA BRITTANY PHANEUF (CNM) in U.S. healthcare data.
Is TRISTA BRITTANY PHANEUF (CNM)'s NPI status active today?
Active status means TRISTA BRITTANY PHANEUF (CNM)'s NPI record is not deactivated in the public file.
How should patients interpret TRISTA BRITTANY PHANEUF (CNM)'s specialty?
The extract shows Advanced Practice Midwife for TRISTA BRITTANY PHANEUF (CNM). Clinical services aligned with this taxonomy classification.
Is TRISTA BRITTANY PHANEUF (CNM) tied to Concord, Massachusetts?
If you are local to Concord, Massachusetts, TRISTA BRITTANY PHANEUF (CNM) may be relevant to your search.
Who maintains TRISTA BRITTANY PHANEUF (CNM)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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