ANDREA DUFOUR
NPI 1679021273
Nurse Practitioner - Family in Springfield, MA

Active since September 13, 2016PECOS EnrolledAccepts Medicare Assignment
3300 MAIN ST, SPRINGFIELD, MA 01107(413) 794-7364(413) 794-7482 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 23, 2024, Oct 31, 2016, Sep 13, 2016 (3 updates tracked since 2016).

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

NPI1679021273
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA DUFOUR
Location Address3300 MAIN STSpringfield, MA 01107-1112
Mailing Address280 Chestnut StSpringfield, MA 01199-1001 · (413) 794-5700
Fax(413) 794-7482
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 13, 2016
Last NPPES UpdateJuly 23, 20243 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
✔ NPI 1679021273 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 CT · 6714
3300 MAIN ST, Springfield, MA 01107

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.

PECOS PAC ID2062791007
PECOS Enrollment IDI20161116000693
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.

Medicare Billing Reassignments

3

Medicare 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.

Family Medicine
71 HAYNES ST, MILLER BLDG., FLOOR G
Manchester, CT 06040
  • Reassigned Medicare billing, Connecticut enrollment
  • 422 clinicians in this Medicare group
Gastroenterology
945 MAIN ST STE 202
Manchester, CT 06040
  • Reassigned Medicare billing, Connecticut enrollment
  • 3 clinicians in this Medicare group
Internal Medicine
1210 SILAS DEANE HWY
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
92 services85 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services42 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
41 services41 patients

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.

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.

Nurse Practitioner (Adult Health)
3300 MAIN ST, 2ND FLOOR, SUITE A
SPRINGFIELD, MA 01107
Physician Assistant (Medical)
3300 MAIN ST, SUITE 4D
SPRINGFIELD, MA 01107
Advanced Practice Midwife
3300 MAIN ST, SUITE 4D
SPRINGFIELD, MA 01107
Advanced Practice Midwife
3300 MAIN ST, SUTIE 4-D
SPRINGFIELD, MA 01107
Psychiatry & Neurology (Neurology)
3300 MAIN ST
SPRINGFIELD, MA 01107
Advanced Practice Midwife
3300 MAIN ST
SPRINGFIELD, MA 01107
Obstetrics & Gynecology
3300 MAIN ST, 4TH FL, STE D
SPRINGFIELD, MA 01107
Advanced Practice Midwife
3300 MAIN ST
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.