ANDREA DUFOUR
NPI 1679021273
Nurse Practitioner - Family in Springfield, MA
About Andrea Dufour NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREA DUFOUR (NPI 1679021273) is an individual family provider in Springfield, Massachusetts, licensed in Connecticut (6714) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Andrea Dufour 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
3Medicare enrollment records show Andrea Dufour reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Manchester, CT 06040
- Reassigned Medicare billing, Connecticut enrollment
- 422 clinicians in this Medicare group
Manchester, CT 06040
- Reassigned Medicare billing, Connecticut enrollment
- 3 clinicians in this Medicare group
Wethersfield, CT 06109
- Reassigned Medicare billing, Connecticut enrollment
- 468 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.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01107 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.
SPRINGFIELD, MA 01107
SPRINGFIELD, MA 01107
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 Andrea Dufour's NPI number?
The NPI number for Andrea Dufour is 1679021273. It was assigned to this individual provider in the NPPES registry on September 13, 2016.
Where is Andrea Dufour located?
Andrea Dufour practices at 3300 Main St, Springfield, MA 01107. The listed phone number is (413) 794-7364.
What is Andrea Dufour's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Andrea Dufour enrolled in Medicare?
Yes. Andrea Dufour 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 Andrea Dufour's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Dufour reassigns Medicare benefits to 3 organizations: Prospect Ct Medical Foundation, Inc. (Manchester, CT), Gastroenterology Health Associates (Manchester, CT) and Starling Physicians, PLLC (Wethersfield, CT). 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 Andrea Dufour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrea Dufour accept?
Health plans from Anthem Blue Cross and Blue Shield list Andrea Dufour 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.
When was this NPI record last updated?
The NPPES record for Andrea Dufour was last updated on July 23, 2024. 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.