1. Home
  2. Directory
  3. Massachusetts
  4. Gardner
  5. Nurse Practitioner
  6. NPI Profile

LORI ROY FNP
NPI 1144902370
Nurse Practitioner - Family in Gardner, MA

Active since August 07, 2023PECOS EnrolledAccepts Medicare Assignment
725 TIMPANY BLVD, GARDNER, MA 01440(978) 632-8100 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lori Roy Fnp NPPES

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

LORI ROY FNP (NPI 1144902370) is an individual family provider in Gardner, Massachusetts, licensed in Massachusetts (RN2298042) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Heywood Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1144902370
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLORI ROYCredential: FNP
Location Address725 TIMPANY BLVDGardner, MA 01440-3472
Mailing Address725 Timpany BlvdGardner, MA 01440-3472
Phone(978) 632-8100
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 7, 2023
NPPES CertifiedAugust 7, 2023
✔ NPI 1144902370 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 · RN2298042
725 TIMPANY BLVD, Gardner, MA 01440
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lori Roy Fnp 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 ID4284089491
PECOS Enrollment IDI20231009000511
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
39 services32 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
29 services21 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Heywood Hospital

Acute Care Hospitals · Gardner, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220095
Location242 Green StreetGardner, MA 01440 · Worcester County
Emergency services Birthing friendly

Athol Memorial Hospital

Critical Access Hospitals · Athol, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221303
Location2033 Main StreetAthol, MA 01331 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01440 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 5

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

MR. RYAN PAUL BALTHASER PA
Physician Assistant
725 TIMPANY BLVD
GARDNER, MA 01440
Worcester County (978) 632-8100
JENNA GAROZZO PA-C
Physician Assistant
725 TIMPANY BLVD
GARDNER, MA 01440
Worcester County (978) 632-8100
CHERYL BARBER PHYSICIAN ASSISTANT
Physician Assistant
725 TIMPANY BLVD
GARDNER, MA 01440
Worcester County (978) 632-8100
MRS. COLLEEN JEAN DPT
Physical Therapist
725 TIMPANY BLVD
GARDNER, MA 01440
Worcester County (508) 721-0000
DR. TRICIA L VORDERSTRASSE M.D.
Family Medicine
725 TIMPANY BLVD, SUITE 106
GARDNER, MA 01440
Worcester County (978) 632-8100

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 Lori Roy's NPI number?

The NPI number for Lori Roy is 1144902370. It was assigned to this individual provider in the NPPES registry on August 7, 2023.

Where is Lori Roy located?

Lori Roy practices at 725 Timpany Blvd, Gardner, MA 01440. The listed phone number is (978) 632-8100.

What is Lori Roy's specialty?

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

Is Lori Roy enrolled in Medicare?

Yes. Lori Roy 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.

What insurance does Lori Roy accept?

Health plans from Anthem Blue Cross and Blue Shield list Lori Roy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lori Roy affiliated with any hospitals?

According to CMS data, Lori Roy is affiliated with Heywood Hospital and Athol Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lori Roy was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.