MRS. TRACY J WILBRAHAM (NP) – Nurse Practitioner, NPI 1063499168
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,971 NURSE PRACTITIONER in MA
Provider Addresses for MRS. TRACY J WILBRAHAM (NP)
173 Chelsea St
Everett, MA 021494632
Phone: (781) 388-6200
Fax: (617) 387-9768
Type: Location
173, Chelsea Street, Everett, Middlesex County, Massachusetts, 02149, United States
EVERETT, MA 021494632
Phone: (781) 388-6200
Fax: (617) 387-9768
Type: Mailing
867 BOYLSTON ST.
5TH FLOOR #1334
BOSTON, MA 02116
Phone: (617) 362-6848
Type: Mailing
25 HIGHLAND AVE
NEWBURYPORT, MA 019503867
Phone: (617) 362-6848
Type: Location
867 BOYLSTON ST
BOSTON, MA 021162774
Phone: (617) 362-6848
Type: Mailing
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 $110.
Total Amount is formed as General ($110) + Research ($0) + Ownership ($0) = $110.
Last reported payment date: 2024-06-05 • Largest payer in this snapshot: Alkermes, Inc. ($110).
Total Amount
$110
General + Research + Ownership
Payments
1
Total payment records
General Amount
$110
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $110 |
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: 2004-03-10
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 |
|---|---|---|---|---|
| I20040310000621 | I | Nurse Practitioner | MA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 138 | 24 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 21 | 19 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 02149)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| Nurse Practitioner | NH | |
| Certified Nurse Midwife (Cnm) | MA | |
| General Surgery | MA | |
| Nurse Practitioner | MA | |
| Infectious Disease | NH | |
| - | MA | |
| Nurse Practitioner | MA | |
| Certified Nurse Midwife (Cnm) | TN | |
| Nurse Practitioner | MA |
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