COLLEEN A THIBAULT FNP
NPI 1578091021
Nurse Practitioner - Family in Leeds, MA

Q: What is Colleen Thibault's NPI number?

The NPI number for Colleen Thibault is 1578091021. It was assigned to this individual provider in the NPPES registry on May 30, 2017.

Q: What is Colleen Thibault's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Colleen Thibault was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 30, 2017PECOS Enrolled

421 N MAIN ST, LEEDS, MA 01053(413) 584-4040 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2023, May 30, 2017 (2 updates tracked since 2017).

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About Colleen A Thibault Fnp NPPES

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

COLLEEN A THIBAULT FNP (NPI 1578091021) is an individual family provider in Leeds, Massachusetts, licensed in Massachusetts (RN2294071) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578091021

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCOLLEEN A THIBAULTCredential: FNP

Location Address421 N MAIN STLeeds, MA 01053-9764

Mailing Address421 N Main StLeeds, MA 01053-9764 · (413) 584-4040

Phone(413) 584-4040

Sole ProprietorNo

Enumeration DateMay 30, 2017

Last NPPES UpdateOctober 12, 20232 updates tracked since enumeration

NPPES CertifiedOctober 12, 2023

✔ NPI 1578091021 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 · RN2294071

421 N MAIN ST, Leeds, MA 01053

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colleen A Thibault Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01053 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 20

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

JORDAN DOUCETTE LICSW

Social Worker (Clinical)

421 N MAIN ST
LEEDS, MA 01053

Hampshire County (134) 584-4040

DR. DAVID P MCGRATH MD

Internal Medicine

421 N MAIN ST
LEEDS, MA 01053

Hampshire County (413) 582-3153

MR. MARK LOUIS FOX RPH

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

421 N MAIN ST
LEEDS, MA 01053

Hampshire County (413) 584-4040

MS. REGINA GRANT LCSW

Social Worker (Clinical)

421 N MAIN ST
LEEDS, MA 01053

Hampshire County (413) 584-4040

MYRNA P CRONEN SLP

Speech-Language Pathologist

421 N MAIN ST
LEEDS, MA 01053

Hampshire County (413) 584-4040

JILLIAN HYNEK LICSW

Social Worker (Clinical)

421 N MAIN ST
LEEDS, MA 01053

Hampshire County (413) 584-4040

JACQUELYN KANG MD

Otolaryngology

421 N MAIN ST
LEEDS, MA 01053

Hampshire County (413) 584-4040

DR. TERRENCE PATRICK DONNELLY O.D.

Optometrist

421 N MAIN ST
LEEDS, MA 01053

Hampshire County (413) 584-4040

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 Colleen Thibault's NPI number?

The NPI number for Colleen Thibault is 1578091021. It was assigned to this individual provider in the NPPES registry on May 30, 2017.

Where is Colleen Thibault located?

Colleen Thibault practices at 421 N Main St, Leeds, MA 01053. The listed phone number is (413) 584-4040.

What is Colleen Thibault's specialty?

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

Is Colleen Thibault enrolled in Medicare?

Yes. Colleen Thibault is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Colleen Thibault was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.