Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Colette Julia O'Connor, ACNPC-AG

Individual provider Nurse Practitioner · NPI 1003653700

MS. Colette Julia O'Connor, ACNPC-AG is a Nurse Practitioner in Worcester, Massachusetts. Qualified in 2024, 2 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2024
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Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (774) 443-7552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 55 Fruit St, Boston, MA 02114-2696 — (617) 724-5100
  • 119 Belmont St, Worcester, MA 01605-2903 — (774) 443-7552

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN2371647 (MA)

Record details

NPI number1003653700
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNPC-AG
Sole proprietorNo
NPI enumeratedJuly 10, 2024
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 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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