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BRIAN P HOULE ACNP
NPI 1942709852
Nurse Practitioner in Leominster, MA

Active since February 06, 2018PECOS EnrolledAccepts Medicare Assignment
60 HOSPITAL RD, LEOMINSTER, MA 01453(978) 466-2000 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 9, 2022, Dec 2, 2020, Apr 17, 2018 (3 updates tracked since 2018).

About Brian P Houle Acnp NPPES

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

BRIAN P HOULE ACNP (NPI 1942709852) is an individual nurse practitioner in Leominster, Massachusetts, licensed in Massachusetts (RN237625) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1942709852
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameBRIAN P HOULECredential: ACNP
Location Address60 HOSPITAL RDLeominster, MA 01453-2205
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885
Phone(978) 466-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 6, 2018
Last NPPES UpdateMay 9, 20223 updates tracked since enumeration
NPPES CertifiedMay 9, 2022
✔ NPI 1942709852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · RN237625
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.
60 HOSPITAL RD, Leominster, MA 01453
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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

Brian P Houle Acnp 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 ID5496018533
PECOS Enrollment IDI20180424001569
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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
47 services47 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
40 services32 patients

Hospital Affiliations CMS Care Compare 3

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

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01453 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.

DAVID J PETULLO MD
Internal Medicine
60 HOSPITAL RD
LEOMINSTER, MA 01453
Worcester County (978) 466-4169
LILLIAN RICH M.D.
Emergency Medicine
60 HOSPITAL RD, WACHUSETT EMERGENCY PHYSICIANS
LEOMINSTER, MA 01453
Worcester County (978) 466-2994
GERMAINE EARLE-CRUICKSHANKS D.O
Obstetrics & Gynecology (Hospice and Palliative Medicine)
60 HOSPITAL RD, HEALTH ALLIANCE HOSPITAL
LEOMINSTER, MA 01453
Worcester County (978) 466-2000
UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC
General Acute Care Hospital
60 HOSPITAL RD
LEOMINSTER, MA 01453
Worcester County (978) 466-2000
BINU PATHROSE MD
Internal Medicine
60 HOSPITAL RD
LEOMINSTER, MA 01453
Worcester County (978) 466-4169
DR. JAY LOUIS GLASER MD
Internal Medicine
60 HOSPITAL RD
LEOMINSTER, MA 01453
Worcester County (978) 466-4169
COORDINATED PRIMARY CARE INC
Hospitalist
60 HOSPITAL RD
LEOMINSTER, MA 01453
Worcester County (978) 466-4169
KRISTINA M CECKOWSKI
Social Worker
60 HOSPITAL RD
LEOMINSTER, MA 01453
Worcester County (978) 728-0621

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 Brian Houle's NPI number?

The NPI number for Brian Houle is 1942709852. It was assigned to this individual provider in the NPPES registry on February 6, 2018.

Where is Brian Houle located?

Brian Houle practices at 60 Hospital Rd, Leominster, MA 01453. The listed phone number is (978) 466-2000.

What is Brian Houle's specialty?

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

Is Brian Houle enrolled in Medicare?

Yes. Brian Houle 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.

Is Brian Houle affiliated with any hospitals?

According to CMS data, Brian Houle is affiliated with Umass Memorial Healthalliance Hospitals, Northeast Hospital Corporation and Winchester Hospital.

When was this NPI record last updated?

The NPPES record for Brian Houle was last updated on May 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.