WENDY J COUTU NP
NPI 1932178167
Nurse Practitioner in Gardner, MA

Active since March 17, 2006PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
242 GREEN ST, GARDNER, MA 01440(978) 632-3420 Get Directions Write a Review

NPPES record last updated: January 21, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wendy J Coutu Np NPPES

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

WENDY J COUTU NP (NPI 1932178167) is an individual nurse practitioner in Gardner, Massachusetts, licensed in Massachusetts (218088) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1932178167
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameWENDY J COUTUCredential: NP
Location Address242 GREEN STGardner, MA 01440-1336
Mailing Address242 Green StGardner, MA 01440-1336 · (978) 632-3420
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 17, 2006
Last NPPES UpdateJanuary 21, 2010
NPI 1932178167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MA · 218088
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 218088 (MA)
242 GREEN ST, Gardner, MA 01440

Other Identifiers 6

Medicaid0704041MA
OtherNP5127MA · Blue Cross
Medicare UPINNP512701MA
Medicare ID-Type UnspecifiedNP5127MA
OtherAA43377MA · Harvard Pilgrim
Medicare UPINQ51988MA

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

Wendy J Coutu Np 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 ID9537194790
PECOS Enrollment IDI20050927001213
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 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 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.
191 services130 patients
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.
105 services86 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
29 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Heywood Hospital

Acute Care Hospitals · Gardner, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220095
Location242 Green StreetGardner, MA 01440 · Worcester County
Emergency services Birthing friendly

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Athol Memorial Hospital

Critical Access Hospitals · Athol, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221303
Location2033 Main StreetAthol, MA 01331 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01440 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.

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 20

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

Registered Nurse
242 GREEN ST
GARDNER, MA 01440
Emergency Medicine (Emergency Medical Services)
242 GREEN ST
GARDNER, MA 01440
Pharmacist
242 GREEN ST
GARDNER, MA 01440
Dietitian, Registered
242 GREEN ST
GARDNER, MA 01440
Family Medicine
242 GREEN ST
GARDNER, MA 01440
Nurse Practitioner
242 GREEN ST
GARDNER, MA 01440
Emergency Medicine
242 GREEN ST
GARDNER, MA 01440
Pathology (Anatomic Pathology & Clinical Pathology)
242 GREEN ST
GARDNER, MA 01440

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 Wendy Coutu's NPI number?

The NPI number for Wendy Coutu is 1932178167. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Wendy Coutu located?

Wendy Coutu practices at 242 Green St, Gardner, MA 01440. The listed phone number is (978) 632-3420.

What is Wendy Coutu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Wendy Coutu enrolled in Medicare?

Yes. Wendy Coutu 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 Wendy Coutu accept?

Health plans from Anthem Blue Cross and Blue Shield list Wendy Coutu 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 Wendy Coutu affiliated with any hospitals?

According to CMS data, Wendy Coutu is affiliated with Umass Memorial Healthalliance Hospitals, Heywood Hospital, Umass Memorial Medical Center/University Campus and Athol Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Wendy Coutu was last updated on January 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.