JOHANN ROSS HEPNER (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1184939613
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JOHANN ROSS HEPNER (PMHNP-BC)
1441 KAPIOLANI BLVD STE 1600
HONOLULU, HI 968144407
Phone: (808) 432-7600
Type: Mailing
37 FRIEND ST
LYNN, MA 019023068
Phone: (781) 715-6608
Fax: (781) 715-6699
Type: Mailing
100 CUMMINGS CTR
BLDG 100 SUITE 166D
BEVERLY, MA 019156115
Phone: (978) 712-3360
Fax: (978) 712-3392
Type: Location
100 Cummings Ctr
Bldg 100 Suite 166D
Beverly, MA 019156115
Phone: (978) 712-3360
Fax: (978) 712-3392
Type: Location
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: 2018-01-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180102001485 | I | Nurse Practitioner | HI | 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 96814)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | HI | |
| - | HI | |
| - | HI | |
| - | CO | |
| Clinical Psychologist | HI | |
| Clinical Psychologist | HI | |
| Nurse Practitioner | HI | |
| - | HI | |
| Physical Therapist In Private Practice | HI | |
| Certified Registered Nurse Anesthetist (Crna) | NM |
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