MR. MICHAEL V DIMUCCI (RN, MSN, FNP-C) – Family Nurse Practitioner, NPI 1083694806
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. MICHAEL V DIMUCCI (RN, MSN, FNP-C)
826 TRENTON LN N
MINNEAPOLIS, MN 554414496
Phone: (612) 805-8676
Fax: (249) 201-5231
Type: Location
423 FORTRESS BLVD
MORGANTOWN, WV 265081351
Phone: (612) 805-8676
Fax: (249) 201-5231
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: 2021-09-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031203000064 | I | Nurse Practitioner | MN | TBD |
| I20170328000982 | I | Nurse Practitioner | IL | TBD |
| I20170425001497 | I | Nurse Practitioner | IN | TBD |
| I20170726002791 | I | Nurse Practitioner | WV | TBD |
| I20190219002295 | I | Nurse Practitioner | VA | TBD |
| I20191120000788 | I | Nurse Practitioner | PA | TBD |
| I20200814000595 | I | Nurse Practitioner | MA | TBD |
| I20210908004192 | I | Nurse Practitioner | DE | TBD |
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.
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 55441)
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