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MS. DENISE M RAINVILLE NP
NPI 1376515650
Nurse Practitioner - Family in Springfield, MA

Active since February 02, 2006PECOS EnrolledAccepts Medicare Assignment
819 WORCESTER STREET, SUITE 3, IPC HOSPITALISTS OF NEW ENGLAND, PC, SPRINGFIELD, MA 01151(413) 543-6820(413) 543-7962 Get Directions Write a Review

NPPES record last updated: February 26, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Denise M Rainville Np NPPES

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

MS. DENISE M RAINVILLE NP (NPI 1376515650) is an individual family provider in Springfield, Massachusetts, licensed in Massachusetts (207287) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Heywood Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1376515650
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. DENISE M RAINVILLECredential: NP
Location Address819 WORCESTER STREET, SUITE 3, IPC HOSPITALISTS OF NEW ENGLAND, PCSpringfield, MA 01151
Mailing Address819 Worcester Street, Suite 3, Ipc Hospitalists Of New England, PcSpringfield, MA 01151 · (413) 543-6820 · Fax (413) 543-7962
Phone(413) 543-6820
Fax(413) 543-7962
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateFebruary 2, 2006
Last NPPES UpdateFebruary 26, 2013
✔ NPI 1376515650 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 · 207287
819 WORCESTER STREET, SUITE 3, Springfield, MA 01151
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedNP3203MA

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

Ms. Denise M Rainville Np 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 ID4385619147
PECOS Enrollment IDI20040826000779
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

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 hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
633 services48 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 01151 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
94%33 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Denise Rainville's NPI number?

The NPI number for Denise Rainville is 1376515650. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is Denise Rainville located?

Denise Rainville practices at 819 Worcester Street, Suite 3 Ipc Hospitalists Of New England, PC, Springfield, MA 01151. The listed phone number is (413) 543-6820.

What is Denise Rainville's specialty?

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

Is Denise Rainville enrolled in Medicare?

Yes. Denise Rainville 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.

Is Denise Rainville affiliated with any hospitals?

According to CMS data, Denise Rainville is affiliated with Heywood Hospital and Athol Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Denise Rainville was last updated on February 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.