MRS. TINA ROSE CODERRE (M.A., CCC-A) – Audiologist, NPI 1245391671
Audiologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. TINA ROSE CODERRE (M.A., CCC-A)
PO BOX 415348
BOSTON, MA 022415348
Phone:
Type: Mailing
281 LINCOLN ST
WORCESTER, MA 016052138
Phone: (508) 334-8726
Fax: (508) 334-8751
Type: Location
24, Julio Drive, Shrewsbury, Worcester County, Massachusetts, 01545, United States
SUITE 101
SHREWSBURY, MA 015453053
Phone: (508) 845-5500
Type: Location
5, Ponnakin Hill Road, Dodge, Charlton, Worcester County, Massachusetts, 01542, United States
CHARLTON, MA 015071549
Phone: (508) 248-7277
Type: Mailing
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: 2007-05-03
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 |
|---|---|---|---|---|
| I20070503000443 | I | Qualified Audiologist | MA | 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 02241)
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