MRS. COLLEEN DUFOUR MARTIN (CRNA) – Registered Nurse, NPI 1679718365
Registered Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MRS. COLLEEN DUFOUR MARTIN (CRNA)
North Avenue, Melrose, Middlesex County, Massachusetts, 01180, United States
MELROSE PARK, IL 601601612
Phone: (847) 945-4550
Fax: (847) 948-8103
Type: Location
1502, London Road, New Lenox, Will County, Illinois, 60451, United States
NEW LENOX, IL 604519741
Phone: (732) 614-6759
Type: Mailing
13 ISLAND DR
BRICK, NJ 087244431
Phone: (732) 614-6759
Type: Mailing
655 SHREWSBURY AVE
SHREWSBURY, NJ 077024179
Phone: (732) 614-6759
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: 2015-05-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150521000828 | I | Certified Registered Nurse Anesthetist (Crna) | NJ | 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 60160)
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