Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Edward Lepore

Individual provider Family Nurse Practitioner · NPI 1114344389

Justin Edward Lepore is a Nurse Practitioner in Worcester, Massachusetts. Qualified in 2013, 13 years ago. Practices with Old Colony Hospice Inc, a 6-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
13
Licensed in
MA, RI
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 334-7917
Fax: (508) 856-5074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN2291579 (MA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN00677 (RI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN2291579 (MA)

Record details

NPI number1114344389
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 25, 2014
Last updated in NPPESApril 15, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Old Colony Hospice Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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