COLLEEN A THIBAULT FNP
NPI 1578091021
Nurse Practitioner - Family in Leeds, MA
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 and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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
Colleen A Thibault 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.
Medicare Billing Reassignments
2Medicare enrollment records show Colleen Thibault reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Westfield, MA 01085
- Reassigned Medicare billing, Massachusetts enrollment
- 15 clinicians in this Medicare group
Auburn, MA 01501
- Reassigned Medicare billing, Massachusetts enrollment
- 42 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 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.
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.
LEEDS, MA 01053
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Colleen Thibault's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Colleen Thibault reassigns Medicare benefits to 2 organizations: Western Massachusetts Hospital (Westfield, MA) and Dispatchhealth Massachusetts PC (Auburn, MA). Each 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 Colleen Thibault'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 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 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.
# Colleen A Thibault, FNP · NPI 1578091021
Family physician in Leeds, Massachusetts. Individual provider, active in the CMS NPPES registry since May 30, 2017.
## Identity
- **NPI:** 1578091021 (Entity type: Individual)
- **Enumerated:** May 30, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN2294071 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 421 N MAIN ST, Leeds, MA 01053-9764
- **Phone:** (413) 584-4040
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Western Massachusetts Hospital (NPI 1518114388, Westfield, MA); Dispatchhealth Massachusetts PC (NPI 1629555842, Auburn, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1578091021) · Data from the CMS NPPES public registry.