ERINN MANDEVILLE (CNM) – Advanced Practice Midwife, NPI 1194848440

ERINN MANDEVILLE (CNM) is a healthcare provider. based in Valdez, Alaska. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. RN2299308 (MA). The NPI Number for ERINN MANDEVILLE (CNM) is 1194848440

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ERINN MANDEVILLE (CNM)
NPI
1194848440
Phone
(907) 822-3797
Address
mile 46 Richardson Hwy
Enumeration Date
9 April 2007
Last Update Date
20 October 2020

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
1456615293
Group Practice PAC ID
9335138817
Professional Enrollment ID
I20200515001773
Address ID
VT056020000BE246XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

55 CERTIFIED NURSE MIDWIFE (CNM) in AK

Provider Addresses for ERINN MANDEVILLE (CNM)

  • mile 46 Richardson Hwy

    Valdez, AK 99686

    Phone: (907) 822-3797

    Fax: (907) 822-3797

    Type: Location

  • 330 Mount Auburn St

    Cambridge, MA 021385502

    Phone: (617) 499-5130

    Type: Location

  • 530 WASHINGTON HWY

    MORRISVILLE, VT 056618715

    Phone: (802) 888-8100

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-05-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200515001773ICertified Nurse Midwife (Cnm)VTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99686)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335138817View full group profile
NameSpecialtyState
Nurse PractitionerVT
-VT
Orthopedic SurgeryVT
Nurse PractitionerVT
-VT
Physician AssistantVT
Nurse PractitionerVT
Nurse PractitionerVT
Nurse PractitionerVT
Physician AssistantVT

Reviews

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Frequently asked questions

How do payers reference ERINN MANDEVILLE (CNM)?
For ERINN MANDEVILLE (CNM), use NPI 1194848440 as the unique 10-digit identifier.
Active or inactive — what applies to ERINN MANDEVILLE (CNM)?
You should see ERINN MANDEVILLE (CNM) as active in CMS-hosted NPPES data.
What area of care is associated with ERINN MANDEVILLE (CNM)?
ERINN MANDEVILLE (CNM)'s record emphasizes Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
Where in Alaska is ERINN MANDEVILLE (CNM) registered?
Use Valdez, Alaska as the headline location for ERINN MANDEVILLE (CNM) here.
When was this NPI issued?
Enumeration for ERINN MANDEVILLE (CNM) is noted as April 9, 2007 where the registry provides it.