ESTHER HANYU TAN (NP) – Mental Health Counselor, NPI 1104335702

ESTHER HANYU TAN (NP) is a healthcare provider. based in Dorchester, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN2346740 (MA). The NPI Number for ESTHER HANYU TAN (NP) is 1104335702

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
ESTHER HANYU TAN (NP)
NPI
1104335702
Phone
Not provided
Address
50 REDFIELD ST STE 300
Enumeration Date
26 September 2017
Deactivation Date
11 June 2021
Reactivation Date
3 August 2021
Last Update Date
10 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6172883230
Graduation Year
2021 (5 years ago)
PAC ID
8921496084
Group Practice PAC ID
8729991021
Professional Enrollment ID
I20211022002062
Address ID
MA021222932DO1353XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for ESTHER HANYU TAN (NP)

  • 50 REDFIELD ST STE 300

    DORCHESTER, MA 021223653

    Phone:

    Type: Mailing

  • 637 WASHINGTON ST

    BOSTON, MA 021243510

    Phone:

    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: 2021-10-22

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
I20211022002062INurse 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 02122)

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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: 8729991021View full group profile
NameSpecialtyState
Internal MedicineDC
-MA
Certified Clinical Nurse Specialist (Cns)MA
O P T O M E T R YNH
P S Y C H I A T R YMA
Certified Clinical Nurse Specialist (Cns)MA
Certified Nurse Midwife (Cnm)MA
Certified Nurse Midwife (Cnm)MA
D E R M A T O L O G YMA
Internal MedicineMA

Reviews

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Frequently asked questions

What unique ID ties claims to ESTHER HANYU TAN (NP)?
NPI 1104335702 is assigned to ESTHER HANYU TAN (NP) under the national enumeration system.
Is ESTHER HANYU TAN (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is ESTHER HANYU TAN (NP)?
The page reflects Mental Health Counselor for ESTHER HANYU TAN (NP). Clinical services aligned with this taxonomy classification.
Does ESTHER HANYU TAN (NP) practice in Massachusetts?
You will see Dorchester, Massachusetts on file for ESTHER HANYU TAN (NP) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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