EMILY BRISBOIS FNP-BC
NPI 1083422513
Nurse Practitioner - Family in Worcester, MA

Active since December 30, 2024PECOS EnrolledAccepts Medicare Assignment
70 GOLD STAR BLVD, WORCESTER, MA 01606(508) 426-9002 Get Directions Write a Review

NPPES record last updated: January 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 17, 2026, Jan 2, 2025 (2 updates tracked since 2025).

About Emily Brisbois Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMILY BRISBOIS FNP-BC (NPI 1083422513) is an individual family provider in Worcester, Massachusetts, licensed in Massachusetts (RN2347223) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1083422513
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEMILY BRISBOISCredential: FNP-BC
Location Address70 GOLD STAR BLVDWorcester, MA 01606-2812
Mailing Address360 Us Highway 1 Byp Unit 102Portsmouth, NH 03801-7105
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 30, 2024
Last NPPES UpdateJanuary 17, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2026
✔ NPI 1083422513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · RN2347223
70 GOLD STAR BLVD, Worcester, MA 01606

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emily Brisbois Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698203958
PECOS Enrollment IDI20250114002840
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Emily Brisbois reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urgent Care
70 GOLD STAR BLVD STE 100
Worcester, MA 01606
  • Reassigned Medicare billing, Massachusetts enrollment
  • 135 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
70 GOLD STAR BLVD
WORCESTER, MA 01606
Physician Assistant
70 GOLD STAR BLVD
WORCESTER, MA 01606

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emily Brisbois's NPI number?

The NPI number for Emily Brisbois is 1083422513. It was assigned to this individual provider in the NPPES registry on December 30, 2024.

Where is Emily Brisbois located?

Emily Brisbois practices at 70 Gold Star Blvd, Worcester, MA 01606. The listed phone number is (508) 426-9002.

What is Emily Brisbois's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Emily Brisbois enrolled in Medicare?

Yes. Emily Brisbois is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Emily Brisbois's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Brisbois reassigns Medicare benefits to Convenientmd - Ffs Uc LLC (Worcester, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emily Brisbois's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Emily Brisbois was last updated on January 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.