STEFANIA CUNNINGHAM (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1083353338

STEFANIA CUNNINGHAM (PMHNP) is a healthcare provider. based in Brockton, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. RN2273854 (MA). The NPI Number for STEFANIA CUNNINGHAM (PMHNP) is 1083353338

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
STEFANIA CUNNINGHAM (PMHNP)
NPI
1083353338
Phone
(508) 894-3598
Address
63 MAIN ST
Enumeration Date
2 June 2022
Last Update Date
3 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7813310690
Graduation Year
2021 (5 years ago)
PAC ID
8729454517
Group Practice PAC ID
8224017082
Professional Enrollment ID
I20221019001893
Address ID
MA021883326WE178XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for STEFANIA CUNNINGHAM (PMHNP)

  • 63 MAIN ST

    BROCKTON, MA 023014042

    Phone: (508) 894-3598

    Type: Location

  • 1120 COMMERCIAL ST

    WEYMOUTH, MA 021891632

    Phone: (781) 258-4861

    Type: Mailing

  • 585 LINCOLN ST

    WORCESTER, MA 016051906

    Phone: (774) 670-4520

    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 $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2024-06-27 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($105).

Total Amount

$105

General + Research + Ownership

Payments

1

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-27

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: 2022-10-19

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
I20221019001893INurse 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 02301)

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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: 8224017082View full group profile
NameSpecialtyState
Addiction Medicine, Family PracticeMA
Nurse PractitionerMA
Clinical Social WorkerMA
Nurse PractitionerMA
Nurse PractitionerMA
Addiction Medicine, Family PracticeMA
Psychiatry, Geriatric PsychiatryMA
Internal MedicineMA
-MA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

What is the registry number for STEFANIA CUNNINGHAM (PMHNP)?
The registry entry for STEFANIA CUNNINGHAM (PMHNP) shows NPI 1083353338.
Should I treat STEFANIA CUNNINGHAM (PMHNP) as an active provider?
Patients and plans typically see STEFANIA CUNNINGHAM (PMHNP) as active in the national extract.
What services align with STEFANIA CUNNINGHAM (PMHNP)'s listing?
STEFANIA CUNNINGHAM (PMHNP)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to STEFANIA CUNNINGHAM (PMHNP)?
STEFANIA CUNNINGHAM (PMHNP) is associated with Brockton, Massachusetts in the same public data insurers reference.
Why is information missing for STEFANIA CUNNINGHAM (PMHNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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