Active NPIIndividual provider

Dr. Cory Pelletier, CNP

Nurse Practitioner, Psych/Mental Health in Worcester, Massachusetts

NPI Number1225606130
Practice location
55 Lake Ave N, Worcester, MA 01655-0002
Fax
—
Last updated
March 6, 2026

Cory Pelletier is a Nurse Practitioner, Psych/Mental Health based in Worcester, MA. Cory Pelletier practices in Worcester, MA and has the professional credentials of CNP. The NPI Number for Cory Pelletier is 1225606130 and holds a License No. RN2346658 (MA). The current practice location address for Cory Pelletier is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 508-334-3452.

Provider Profile Details

NPI Number
1225606130
Provider Name
Cory Pelletier
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
55 Lake Ave N, Worcester, MA 01655-0002
Phone Number
508-334-3452
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
June 16, 2021
Last Update Date
March 6, 2026
Certification Date
March 6, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lake Ave N
Worcester, MA 01655-0002
Zip
01655-0002
Phone Number
508-334-3452
Worcester, MA 01655Get directions →

Provider Business Mailing Address Details

Address
Po Box 415348
Boston, MA 02241-5348
City
Boston
State
MA
Zip
02241-5348

License Information

License Number (1)
RN2346658
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Acute Care · 363LA2100X
License Number (2)
RN2346658
License State (2)
MA
Taxonomy (2)
Nurse Practitioner · 363L00000X
License Number (3)
RN2346658
License State (3)
MA
Taxonomy (3)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Cory Pelletier, CNP?

The NPI number of Dr. Cory Pelletier, CNP is 1225606130. It was assigned on June 16, 2021 and is currently active in the NPPES registry.

What is the specialty of Dr. Cory Pelletier, CNP?

Dr. Cory Pelletier, CNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2346658.

Where does Dr. Cory Pelletier, CNP practice?

The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 508-334-3452 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225606130 directly on the NPPES registry website.

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