Active NPI 1932178167 Individual Practitioner Female Practitioner

Wendy J Coutu , NP

Nurse Practitioner • Gardner, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Wendy Coutu, NP is a certified Nurse Practitioner practicing in Gardner, MA. With approximately 23 years of clinical experience since completing medical education in 2003, Wendy Coutu delivers high-quality medical care to the local community at 242 GREEN ST.

Wendy Coutu is affiliated with Heywood Medical Group Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

242 Green St

Gardner, MA 014401336

Telephone 9786323420

Associated Practice Facility / Clinic

🏢 Henry Heywood Memorial Hospital Facility NPI 1205823879

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Gardner, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +12.6 yrs vs City Avg

City Avg: 10.4 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

13 Specialists

Practicing in Gardner, MA (3545 Statewide)

Telehealth Adoption Rate

15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

35.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Coutu (23 Years) 23 Yrs

Gardner Specialty Average (10.4 Years) 10.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	130	$117.13	$83.44
99213 Established patient office or other outpatient visit, typically 15 minutes	105	86	$77.00	$56.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	21	$212.69	$123.86
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	27	17	$25.00	$14.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	126	109	$77.00	$57.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	95	$115.77	$84.20
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$216.00	$79.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	142	117	$77.00	$58.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	73	$122.83	$86.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	24	$188.82	$127.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$148.00	$120.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	84	$191.83	$88.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	49	$566.00	$176.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$248.57	$121.13
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$143.96	$59.63
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	17	$286.00	$91.21
99497 Advance care planning, first 30 minutes	17	15	$187.00	$69.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	128	123	$566.00	$180.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	56	$326.00	$71.00
99497 Advance care planning, first 30 minutes	58	56	$187.00	$69.92
99356 Prolonged inpatient or observation hospital service, first hour	28	25	$238.00	$83.48
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	23	$286.00	$93.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$501.42	$112.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	20	$400.00	$100.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	114	103	$566.00	$179.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	71	$326.00	$69.61
99497 Advance care planning, first 30 minutes	70	67	$187.00	$69.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	22	$400.00	$98.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	14	$286.00	$92.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$502.00	$110.76
99356 Prolonged inpatient or observation hospital service, first hour	15	12	$238.00	$82.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	12	$191.00	$64.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	71	$326.19	$69.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	90	80	$567.32	$178.95
99497 Advance care planning, first 30 minutes	48	43	$187.00	$69.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	37	$400.00	$98.03
99356 Prolonged inpatient or observation hospital service, first hour	21	19	$238.00	$81.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	91	$325.01	$67.71
99285 Emergency department visit for life threatening or functioning severity	74	74	$608.00	$149.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	60	57	$572.52	$176.03
99284 Emergency department visit with moderate level of medical decision making	52	52	$412.00	$101.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$500.00	$112.71
99283 Emergency department visit with low level of medical decision making	32	32	$225.00	$53.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$400.00	$91.36

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA 218088

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License MA 218088

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0704041 (MA)

Commercial Insurance / Payer ID Harvard Pilgrim

AA43377 (MA)

Commercial Insurance / Payer ID Blue Cross

NP5127 (MA)

Hospital & Practice Group Affiliations

Heywood Medical Group Inc.

250 Green St, Gardner, MA 014401396

Phone: 9786306460

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners

Jane Allard , RN

Registered Nurse

NPI 1003470493

Registered Nurse

Abby Brockelbank , ARNP-C

Nurse Practitioner - Family

NPI 1043694656

ARNPC

Linda Hier , NP

Nurse Practitioner

NPI 1093935611

Nurse Practitioner

Joseph Wollman

Emergency Medicine

NPI 1134563489

Dr. Vernon Kellog , MD

Emergency Medicine

NPI 1144341470

Doctor of Medicine (M.D.)

Dr. Douglas Romney , MD

Emergency Medicine - Emergency Medical Services

NPI 1184059735

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 21, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location January 21, 2010

Registered at 242 GREEN ST, GARDNER, MA 014401336 (Tel: 9786323420)

📍

Updated Business Mailing Address January 21, 2010

Registered at 242 GREEN ST, GARDNER, MA 014401336 (Tel: 9786323420)

👤

Provider Name / Credentials Updated January 21, 2010

Recorded as WENDY COUTU, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2010

Nurse Practitioner (License #218088 in MA)

🟢

Initial NPI Registration & Enumeration March 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932178167

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 17, 2006

Last Update: January 21, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

242 Green St

Gardner, MA 014401336

Phone: 9786323420

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.