Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ADRIENNE THIBODEAU PA-C
NPI 1780069310
Physician Assistant - Surgical in Longmeadow, MA

Active since July 24, 2015PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
722 BLISS RD, LONGMEADOW, MA 01106(413) 561-7468 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 6, 2026, Apr 24, 2017 (2 updates tracked since 2017).

About Adrienne Thibodeau Pa-c NPPES

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

ADRIENNE THIBODEAU PA-C (NPI 1780069310) is an individual surgical provider in Longmeadow, Massachusetts, licensed in Massachusetts (PA5482) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Holyoke Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1780069310
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameADRIENNE THIBODEAUCredential: PA-C
Location Address722 BLISS RDLongmeadow, MA 01106-1557
Mailing Address12 Cherry Brook LnSuffield, CT 06078-1039 · (860) 810-4980
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 24, 2015
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
NPI 1780069310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in MA · PA5482
722 BLISS RD, Longmeadow, MA 01106

Other Names 1

Former Name (1)Adrienne Boyer Pa-c

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Adrienne Thibodeau Pa-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.

PECOS PAC ID1456652593
PECOS Enrollment IDI20151215002374
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.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
72 services42 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services24 patients
Repair of groin hernia (5 years or older) 49505
Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.
19 services19 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holyoke Medical Center

Acute Care Hospitals · Holyoke, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220024
Location575 Beech StreetHolyoke, MA 01040 · Hampden County
Emergency services

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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Physician Assistant
722 BLISS RD
LONGMEADOW, MA 01106

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 Adrienne Thibodeau's NPI number?

The NPI number for Adrienne Thibodeau is 1780069310. It was assigned to this individual provider in the NPPES registry on July 24, 2015. The provider is also known as Adrienne Boyer Pa-C.

Where is Adrienne Thibodeau located?

Adrienne Thibodeau practices at 722 Bliss Rd, Longmeadow, MA 01106. The listed phone number is (413) 561-7468.

What is Adrienne Thibodeau's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Adrienne Thibodeau enrolled in Medicare?

Yes. Adrienne Thibodeau 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.

What insurance does Adrienne Thibodeau accept?

Health plans from Anthem Blue Cross and Blue Shield list Adrienne Thibodeau 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.

Is Adrienne Thibodeau affiliated with any hospitals?

According to CMS data, Adrienne Thibodeau is affiliated with Holyoke Medical Center.

When was this NPI record last updated?

The NPPES record for Adrienne Thibodeau was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.