VERA J KOMISARJEVSKY (ACNP) – Acute Care Nurse Practitioner, NPI 1194714568

VERA J KOMISARJEVSKY (ACNP) is a healthcare provider. based in Lewiston, Maine. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP. They hold a License No. CNP101040 (ME). The NPI Number for VERA J KOMISARJEVSKY (ACNP) is 1194714568

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
VERA J KOMISARJEVSKY (ACNP)
NPI
1194714568
Phone
(207) 777-4111
Address
PO BOX 291
Enumeration Date
18 October 2005
Last Update Date
1 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2078859905
Graduation Year
2005 (21 years ago)
PAC ID
2769492677
Group Practice PAC ID
7517860588
Professional Enrollment ID
I20110614000071
Address ID
ME041023134PO22XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,869 NURSE PRACTITIONER in ME

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Provider Addresses for VERA J KOMISARJEVSKY (ACNP)

  • PO BOX 291

    LEWISTON, ME 042430291

    Phone: (207) 777-4111

    Fax: (207) 783-6660

    Type: Mailing

  • 22 BRAMHALL ST

    PORTLAND, ME 041023134

    Phone: (207) 662-4618

    Type: Mailing

  • Saint Marys Regional Medical Center, 93, Campus Avenue, Lewiston, Androscoggin County, Maine, 04240, United States

    LEWISTON, ME 042406030

    Phone: (207) 777-8120

    Fax: (207) 777-8984

    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: 2011-06-14

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
I20110614000071INurse PractitionerMETBD

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 04243)

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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: 7517860588View full group profile

Reviews

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Frequently asked questions

What is the registry number for VERA J KOMISARJEVSKY (ACNP)?
The registry entry for VERA J KOMISARJEVSKY (ACNP) shows NPI 1194714568.
Is VERA J KOMISARJEVSKY (ACNP) currently accepting referrals based on NPI status?
Registry metadata lists VERA J KOMISARJEVSKY (ACNP) as active.
Which specialty label fits VERA J KOMISARJEVSKY (ACNP)?
NPPES ties VERA J KOMISARJEVSKY (ACNP) to Acute Care Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to VERA J KOMISARJEVSKY (ACNP)?
VERA J KOMISARJEVSKY (ACNP) is associated with Lewiston, Maine in the same public data insurers reference.
Who maintains VERA J KOMISARJEVSKY (ACNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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