CLELIE ST VIL (APRN) – Nurse Practitioner, NPI 1053975789

CLELIE ST VIL (APRN) is a healthcare provider. based in Woburn, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 266209 (MA). The NPI Number for CLELIE ST VIL (APRN) is 1053975789

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CLELIE ST VIL (APRN)
NPI
1053975789
Phone
(617) 767-1815
Address
52 PROSPECT ST
Enumeration Date
29 April 2019
Last Update Date
1 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9786852460
Graduation Year
2019 (7 years ago)
PAC ID
1658786744
Group Practice PAC ID
8628102928
Professional Enrollment ID
I20210223002778
Address ID
MA018243429CH290XXRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

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Provider Addresses for CLELIE ST VIL (APRN)

  • 52, Prospect Street, Woburn Highlands, Woburn, Middlesex County, Massachusetts, 01801, United States

    WOBURN, MA 018014339

    Phone: (617) 767-1815

    Type: Mailing

  • Addison Gallery of American Art, 180, Main Street, Andover, Essex County, Massachusetts, 01810, United States

    ANDOVER, MA 01810

    Phone: (978) 749-4000

    Type: Location

  • 180 Main St

    Andover, MA 01810

    Phone: (978) 749-4000

    Type: Location

  • 52 Prospect St

    Woburn, MA 018014339

    Phone: (617) 767-1815

    Type: Location

  • 792 MAIN ST

    CLINTON, MA 015101608

    Phone: (978) 368-7631

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $150.

Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($150).

Total Amount

$150

General + Research + Ownership

Payments

2

Total payment records

General Amount

$150

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-02-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210223002778INurse PractitionerMATBD
I20210224001623INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes603197$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes342158$0
99497Advance care planning, first 30 minutes8378$0
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit2525$0
99316Nursing facility discharge management, more than 30 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 01801)

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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: 8628102928View full group profile
NameSpecialtyState
Internal MedicineNY
-MA
Internal MedicineMA
Internal MedicineMA
Internal MedicineMA
Internal MedicineMA
Nurse PractitionerMA
-MA
Nurse PractitionerMA
-MA

Reviews

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Frequently asked questions

What NPI should I save for CLELIE ST VIL (APRN)?
Save NPI 1053975789 if you need a stable reference for CLELIE ST VIL (APRN).
Is CLELIE ST VIL (APRN) active in the national directory?
CLELIE ST VIL (APRN)'s public NPI profile is in an active state.
Does CLELIE ST VIL (APRN) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for CLELIE ST VIL (APRN). Clinical services aligned with this taxonomy classification.
Where does public data place CLELIE ST VIL (APRN)?
The snapshot lists Woburn, Massachusetts for CLELIE ST VIL (APRN); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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