GLORIA N IHEUWA (NP) – Family Nurse Practitioner, NPI 1104690072

GLORIA N IHEUWA (NP) is a healthcare provider. based in Brockton, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 263302 (MD). The NPI Number for GLORIA N IHEUWA (NP) is 1104690072

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
GLORIA N IHEUWA (NP)
NPI
1104690072
Phone
(508) 584-6300
Address
35 PEARL ST STE 300
Enumeration Date
13 November 2023
Last Update Date
16 April 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
5085846300
Graduation Year
2024 (2 years ago)
PAC ID
3678016052
Group Practice PAC ID
7012950801
Professional Enrollment ID
I20240614000436
Address ID
MA023012866BR35XXXSTXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:2State licenses:2Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for GLORIA N IHEUWA (NP)

  • 35 PEARL ST STE 300

    BROCKTON, MA 023012866

    Phone: (508) 584-6300

    Type: Mailing

  • 500 W Monroe St

    Chicago, IL 606613671

    Phone: (617) 372-1679

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 45 Open Payments records for all available years, with a total value of $1,033.

Total Amount is formed as General ($1,033) + Research ($0) + Ownership ($0) = $1,033.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($411).

Total Amount

$1,033

General + Research + Ownership

Payments

45

Total payment records

General Amount

$1,033

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

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: 2024-06-14

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
I20240614000436INurse 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: 7012950801View full group profile
NameSpecialtyState
Allergy/Immunology, Pediatric MedicineNJ
Physician AssistantMA
A L L E R G Y/ I M M U N O L O G YMA
Nurse PractitionerMA
A L L E R G Y/ I M M U N O L O G YMA
Nurse PractitionerMA
Nurse PractitionerMA
A L L E R G Y/ I M M U N O L O G YMA

Reviews

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Frequently asked questions

How do I look up GLORIA N IHEUWA (NP) by NPI?
Use NPI 1104690072 when you need to reference GLORIA N IHEUWA (NP) in forms, claims, or directories.
Is GLORIA N IHEUWA (NP) currently active in the NPI registry?
CMS-published data lists GLORIA N IHEUWA (NP) as an active registrant.
What does GLORIA N IHEUWA (NP) treat or focus on?
Patients typically see GLORIA N IHEUWA (NP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for GLORIA N IHEUWA (NP)?
We surface Brockton, Massachusetts for GLORIA N IHEUWA (NP) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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