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

Nichole M Mailloux, APRN

Individual provider Acute Care Nurse Practitioner · NPI 1417098898

Nichole M Mailloux, APRN is a Nurse Practitioner in Worcester, Massachusetts. Qualified in 2006, 20 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group and accepts Medicare assignment. Licensed in Connecticut and Massachusetts.

Years since qualifying
20
Licensed in
CT, MA
In the registry since
2007
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 334-3452
Fax: (508) 334-7284
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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 RN216625 (MA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 003481 (CT)

Record details

NPI number1417098898
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedFebruary 9, 2007
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Umass Memorial Medical Group Inc — 2467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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