KATHLEEN PUCCI MSN RN CNL AGNP-C
NPI 1619334794
Nurse Practitioner - Primary Care in North Andover, MA
About Kathleen Pucci Msn Rn Cnl Agnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN PUCCI MSN RN CNL AGNP-C (NPI 1619334794) is an individual primary care provider in North Andover, Massachusetts, licensed in Massachusetts (RN205357) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, is affiliated with Anna Jaques Hospital, and is a graduate of Other (2015).
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
Kathleen Pucci Msn Rn Cnl Agnp-c 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 Kathleen Pucci reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Melrose, MA 02176
- Reassigned Medicare billing, Massachusetts enrollment
- 176 clinicians in this Medicare group
Newburyport, MA 01950
- Reassigned Medicare billing, Massachusetts enrollment
- 18 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Anna Jaques Hospital
Acute Care Hospitals · Newburyport, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01845 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
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 Kathleen Pucci's NPI number?
The NPI number for Kathleen Pucci is 1619334794. It was assigned to this individual provider in the NPPES registry on January 20, 2016.
Where is Kathleen Pucci located?
Kathleen Pucci practices at 790 Turnpike St Ste 201, North Andover, MA 01845. The listed phone number is (978) 258-3355.
What is Kathleen Pucci's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Kathleen Pucci enrolled in Medicare?
Yes. Kathleen Pucci 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 Kathleen Pucci's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Pucci reassigns Medicare benefits to 2 organizations: Massachusetts Acute Care Specialists PC (Melrose, MA) and United Family Medical Center LLC (Newburyport, 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 Kathleen Pucci's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kathleen Pucci affiliated with any hospitals?
According to CMS data, Kathleen Pucci is affiliated with Anna Jaques Hospital.
When was this NPI record last updated?
The NPPES record for Kathleen Pucci was last updated on January 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kathleen Pucci, MSN RN CNL AGNP-C · NPI 1619334794
Primary Care physician in North Andover, Massachusetts. Individual provider, active in the CMS NPPES registry since January 20, 2016.
## Identity
- **NPI:** 1619334794 (Entity type: Individual)
- **Enumerated:** January 20, 2016
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** RN205357 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 790 TURNPIKE ST STE 201, North Andover, MA 01845-6138
- **Phone:** (978) 258-3355
## 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): Massachusetts Acute Care Specialists PC (NPI 1306134812, Melrose, MA); United Family Medical Center LLC (NPI 1275312530, Newburyport, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** January 20, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1619334794) · Data from the CMS NPPES public registry.