MR. ALFRIDE PREVOST-RICARDO (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1962697961

MR. ALFRIDE PREVOST-RICARDO (PMHNP-BC) is a healthcare provider. based in Worcester, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. RN/NP276156 (MA). The NPI Number for MR. ALFRIDE PREVOST-RICARDO (PMHNP-BC) is 1962697961

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. ALFRIDE PREVOST-RICARDO (PMHNP-BC)
NPI
1962697961
Phone
(508) 860-1000
Address
72 JAQUES AVE
Enumeration Date
12 September 2007
Last Update Date
26 January 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5086612020
Graduation Year
2011 (15 years ago)
PAC ID
3870729403
Group Practice PAC ID
9830404045
Professional Enrollment ID
I20131204000010
Address ID
MA017027079FR354XXSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

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Provider Addresses for MR. ALFRIDE PREVOST-RICARDO (PMHNP-BC)

  • 72, Jaques Avenue, Piedmont, Worcester, Worcester County, Massachusetts, 01610-1135, United States

    WORCESTER, MA 016102476

    Phone: (508) 860-1000

    Fax: (508) 752-0577

    Type: Mailing

  • 40, Spruce Street, Leominster, Worcester County, Massachusetts, 01453, United States

    LEOMINSTER, MA 014533233

    Phone: (978) 534-6116

    Fax: (978) 534-3294

    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: 2019-01-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20131204000010INurse PractitionerMATBD
I20190116000105INurse PractitionerFLTBD

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 minutes38284$0
View full utilization report →

Insurance plans in this area (ZIP 01610)

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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: 9830404045View full group profile
NameSpecialtyState
Nurse PractitionerMA
Mental Health CounselorMA
Mental Health CounselorMA
Clinical Social WorkerMA
Mental Health CounselorMA
Mental Health CounselorMA
Mental Health CounselorNH
Clinical Social WorkerMA
Mental Health CounselorMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

Can I cross-check MR. ALFRIDE PREVOST-RICARDO (PMHNP-BC) using NPI 1962697961?
NPI 1962697961 belongs to MR. ALFRIDE PREVOST-RICARDO (PMHNP-BC); compare other details if you need extra assurance.
Active or inactive — what applies to MR. ALFRIDE PREVOST-RICARDO (PMHNP-BC)?
You should see MR. ALFRIDE PREVOST-RICARDO (PMHNP-BC) as active in CMS-hosted NPPES data.
How would a patient describe MR. ALFRIDE PREVOST-RICARDO (PMHNP-BC)'s focus?
For MR. ALFRIDE PREVOST-RICARDO (PMHNP-BC), the primary taxonomy reads as Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is MR. ALFRIDE PREVOST-RICARDO (PMHNP-BC) registered?
Use Worcester, Massachusetts as the headline location for MR. ALFRIDE PREVOST-RICARDO (PMHNP-BC) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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