Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Vincent James Prendergast, ACNP

Individual provider Nurse Practitioner · NPI 1881820090

Mr. Vincent James Prendergast, ACNP is a Nurse Practitioner in Worcester, Massachusetts. Qualified in 2007, 19 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
19
Licensed in
MA
In the registry since
2009
What do these letters mean?
ACNP — Acute Care Nurse Practitioner
A nurse practitioner who treats acutely ill patients, usually in hospital.

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Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 426-5622
Fax: (508) 421-1085
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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 RN266879 (MA)

Record details

NPI number1881820090
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNP
Sole proprietorNo
NPI enumeratedJune 2, 2009
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Umass Memorial Medical Group Inc — 2467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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