JENNIFER THIM OUNG MATHURIN (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1073148540
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,971 NURSE PRACTITIONER in MA
Provider Addresses for JENNIFER THIM OUNG MATHURIN (NP)
9 Centennial Dr Ste 219
Peabody, MA 019607939
Phone: (617) 500-3513
Fax: (617) 500-3513
Type: Location
55 MICHAEL DR
BROCKTON, MA 023016219
Phone: (774) 240-0545
Type: Mailing
1 PEARL ST # 1600A
BROCKTON, MA 023012864
Phone:
Type: Mailing
63 PLEASANT ST
WATERTOWN, MA 024722386
Phone: (774) 240-0545
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.
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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: 2021-09-13
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 |
|---|---|---|---|---|
| I20210913001489 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 33 | 19 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 28 | 17 | $0 |
Insurance plans in this area (ZIP 01960)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MD | |
| Mental Health Counselor | MA | |
| Clinical Psychologist | MA | |
| Clinical Social Worker | FL | |
| Nurse Practitioner | MA | |
| Clinical Social Worker | FL | |
| Nurse Practitioner | MA | |
| Clinical Social Worker | MA | |
| Clinical Social Worker | MA | |
| Mental Health Counselor | MA |
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