WOUDELYNE JEAN (CNP) – Geriatric Medicine (Internal Medicine) Physician, NPI 1023650660
Geriatric Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,971 NURSE PRACTITIONER in MA
Provider Addresses for WOUDELYNE JEAN (CNP)
243 Church St
Pembroke, MA 023591962
Phone: (781) 826-3838
Type: Location
56, Galen Street, Brockton, Plymouth County, Massachusetts, 02302, United States
BROCKTON, MA 023023336
Phone: (774) 274-2563
Type: Mailing
Curahealth Stoughton, 909, Sumner Street, Stoughton, Norfolk County, Massachusetts, 02072, United States
STOUGHTON, MA 020723396
Phone: (781) 297-8200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $118.
Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.
Last reported payment date: 2024-07-31 • Largest payer in this snapshot: Vanda Pharmaceuticals Inc. ($118).
Total Amount
$118
General + Research + Ownership
Payments
1
Total payment records
General Amount
$118
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Vanda Pharmaceuticals Inc. | $118 |
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: 2026-03-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20220420000964 | I | Nurse Practitioner | MA | TBD |
| I20251216004697 | I | Nurse Practitioner | OH | TBD |
| I20260114000102 | I | Nurse Practitioner | IN | TBD |
| I20260216002492 | I | Nurse Practitioner | VA | TBD |
| I20260303000213 | I | Nurse Practitioner | WV | 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 02359)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | MA | |
| Mental Health Counselor | MA | |
| Mental Health Counselor | MA | |
| Mental Health Counselor | MA | |
| Mental Health Counselor | MA | |
| Clinical Social Worker | MA | |
| Mental Health Counselor | MA | |
| Nurse Practitioner | MA | |
| Mental Health Counselor | MA | |
| Clinical Social Worker | MA |
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