KRISTINE RAVEAU (PMHNP-BC) – Psychiatric/Mental Health Registered Nurse, NPI 1033873955

KRISTINE RAVEAU (PMHNP-BC) is a healthcare provider. based in Brockton, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. RN2265259 (MA). The NPI Number for KRISTINE RAVEAU (PMHNP-BC) is 1033873955

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINE RAVEAU (PMHNP-BC)
NPI
1033873955
Phone
(617) 301-3380
Address
41 WHITMAN ST
Enumeration Date
27 October 2021
Last Update Date
26 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5088343183
Graduation Year
2023 (3 years ago)
PAC ID
2567960206
Group Practice PAC ID
9638234750
Professional Enrollment ID
I20250812001035
Address ID
MA017015410FR1881XRDXX305
Telehealth
Yes

Contacts

Other Endpoint
Brockton
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness95
Years active:4State licenses:1Other names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for KRISTINE RAVEAU (PMHNP-BC)

  • 41 WHITMAN ST

    BROCKTON, MA 023023320

    Phone: (617) 301-3380

    Type: Mailing

  • 680 CENTRE ST

    BROCKTON, MA 023023308

    Phone: (508) 941-7543

    Type: Location

  • 1881 WORCESTER RD STE 203

    FRAMINGHAM, MA 017015410

    Phone: (508) 834-3183

    Fax: (508) 532-1168

    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: 2025-08-12

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
I20250812001035INurse PractitionerMATBD

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 02302)

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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: 9638234750View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)MA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

How do I look up KRISTINE RAVEAU (PMHNP-BC) by NPI?
Use NPI 1033873955 when you need to reference KRISTINE RAVEAU (PMHNP-BC) in forms, claims, or directories.
Is KRISTINE RAVEAU (PMHNP-BC) currently active in the NPI registry?
CMS-published data lists KRISTINE RAVEAU (PMHNP-BC) as an active registrant.
Does KRISTINE RAVEAU (PMHNP-BC) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Registered Nurse for KRISTINE RAVEAU (PMHNP-BC). Clinical services aligned with this taxonomy classification.
Does KRISTINE RAVEAU (PMHNP-BC) practice in Massachusetts?
You will see Brockton, Massachusetts on file for KRISTINE RAVEAU (PMHNP-BC) alongside any extra practice locations.
What if Brockton, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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