DR. JENNIFER L DEARDEN (MD) – Anesthesiology Physician, NPI 1194787556
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
863 ANESTHESIOLOGY in CT
Provider Addresses for DR. JENNIFER L DEARDEN (MD)
365 Montauk Ave
New London, CT 063204769
Phone: (860) 442-0711
Fax: (860) 443-4458
Type: Location
25 Wells St
Westerly, RI 028912934
Phone: (401) 596-7477
Fax: (401) 596-0821
Type: Location
38 LAKESHORE DR
WESTWOOD, MA 020902813
Phone:
Type: Mailing
Children's Hospital Library, 300, Longwood Avenue, Roxbury, Boston, Suffolk County, Massachusetts, 02120, United States
BOSTON, MA 021155724
Phone: (617) 355-7737
Type: Location
21 GRAND HILL DR
DOVER, MA 020301734
Phone: (617) 447-4386
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: 2024-12-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050119000810 | I | Anesthesiology | MA | TBD |
| I20240819001981 | I | Anesthesiology | CT | TBD |
| I20241220000222 | I | Anesthesiology | RI | TBD |
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.
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 06320)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | MA | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| A N E S T H E S I O L O G Y | AE | |
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| Nurse Practitioner, Certified Registered Nurse Anesthetist (Crna) | MA | |
| A N E S T H E S I O L O G Y | MA | |
| A N E S T H E S I O L O G Y | MA | |
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| - | MA | |
| Certified Registered Nurse Anesthetist (Crna) | MA |
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