ELIANE K FOGUE
NPI 1942600275
Nurse Practitioner - Psychiatric/Mental Health in Worcester, MA

Active since August 22, 2014PECOS Enrolled
26 QUEEN ST STE 13, WORCESTER, MA 01610(508) 860-7700 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 17, 2025, Jul 2, 2025, Jan 12, 2025 (3 updates tracked since 2025).

About Eliane K Fogue NPPES

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

ELIANE K FOGUE (NPI 1942600275) is an individual psychiatric/mental health provider in Worcester, Massachusetts, licensed in Massachusetts (RN9518901) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1942600275
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameELIANE K FOGUE
Location Address26 QUEEN ST STE 13Worcester, MA 01610-2478
Mailing Address26 Queen St Ste 13Worcester, MA 01610-2478 · (508) 860-7700
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 22, 2014
Last NPPES UpdateSeptember 17, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1942600275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · RN9518901
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9518901 (MA)
26 QUEEN ST STE 13, Worcester, MA 01610

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eliane K Fogue is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698271773
PECOS Enrollment IDI20250929003641
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 Reassignment

Medicare enrollment records show Eliane Fogue reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
26 QUEEN ST, MEDICAL SERVICES
Worcester, MA 01610
  • Reassigned Medicare billing, Massachusetts enrollment
  • 110 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01610 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 (Primary Care)
26 QUEEN ST STE 13
WORCESTER, MA 01610
Pharmacist
26 QUEEN ST STE 13
WORCESTER, MA 01610
Social Worker (Clinical)
26 QUEEN ST STE 13
WORCESTER, MA 01610
Student in an Organized Health Care Education/Training Program
26 QUEEN ST STE 13
WORCESTER, MA 01610
Student in an Organized Health Care Education/Training Program
26 QUEEN ST STE 13
WORCESTER, MA 01610
Social Worker (Clinical)
26 QUEEN ST STE 13
WORCESTER, MA 01610
Nurse Practitioner (Psychiatric/Mental Health)
26 QUEEN ST STE 13
WORCESTER, MA 01610
Dental Hygienist
26 QUEEN ST STE 13
WORCESTER, MA 01610

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 Eliane Fogue's NPI number?

The NPI number for Eliane Fogue is 1942600275. It was assigned to this individual provider in the NPPES registry on August 22, 2014.

Where is Eliane Fogue located?

Eliane Fogue practices at 26 Queen St Ste 13, Worcester, MA 01610. The listed phone number is (508) 860-7700.

What is Eliane Fogue's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Eliane Fogue enrolled in Medicare?

Yes. Eliane Fogue is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Eliane Fogue's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eliane Fogue reassigns Medicare benefits to Family Health Center Of Worcester, Inc. (Worcester, MA). The 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 Eliane Fogue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eliane Fogue accept?

Health plans from Harvard Pilgrim Health Care and Taro Health list Eliane Fogue 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 Eliane Fogue was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.