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

Nechole E Rudolph, CNP

Individual provider Nurse Practitioner · NPI 1790223121

Nechole E Rudolph, CNP is a Nurse Practitioner in Worcester, Massachusetts. Qualified in 2016, 10 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
10
Licensed in
MA
In the registry since
2017
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

119 Belmont St
Worcester, MA 01605-2903
Phone: (508) 334-5603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 55 Lake Ave N, Worcester, MA 01655-0002 — (774) 443-7552

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN2273614 (MA)

Record details

NPI number1790223121
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedFebruary 6, 2017
Last updated in NPPESNovember 18, 2020
Certification dateNovember 18, 2020
Mailing addressPo Box 415348, Boston, MA 02241-5348

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 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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