ANDREW STAFFIER (NP) – Family Nurse Practitioner, NPI 1114926094

ANDREW STAFFIER (NP) is a healthcare provider. based in Everett, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 237174-NP (MA). The NPI Number for ANDREW STAFFIER (NP) is 1114926094

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW STAFFIER (NP)
NPI
1114926094
Phone
(617) 387-3330
Address
596 BROADWAY
Enumeration Date
21 July 2005
Last Update Date
1 December 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7813954909
Graduation Year
2001 (25 years ago)
PAC ID
0446292379
Group Practice PAC ID
1759273436
Professional Enrollment ID
I20050601000460
Address ID
MA021551643ME170XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

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Provider Addresses for ANDREW STAFFIER (NP)

  • 596, Broadway, Glendale, Everett, Middlesex County, Massachusetts, 02149, United States

    EVERETT, MA 021493743

    Phone: (617) 387-3330

    Fax: (617) 387-0827

    Mailing address matches the actual address.

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: 2005-06-01

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
I20050601000460INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes326172$0
36415Insertion of needle into vein for collection of blood sample185128$0
99213Established patient office or other outpatient visit, 20-29 minutes3834$0
G0008Administration of influenza virus vaccine3333$0
90662Influenza vaccine split virus, preservative free3131$0
View full utilization report →

Insurance plans in this area (ZIP 02149)

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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: 1759273436View full group profile
NameSpecialtyState
P A T H O L O G YMA
Nurse PractitionerNY
Diagnostic RadiologyME
Physician AssistantMA
Diagnostic RadiologyMI
Diagnostic RadiologyMA
Diagnostic RadiologyOH
P A T H O L O G YMA
Family Practice, Osteopathic Manipulative MedicineMA
Diagnostic Radiology, Interventional RadiologyNY

Reviews

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Frequently asked questions

How do I look up ANDREW STAFFIER (NP) by NPI?
Use NPI 1114926094 when you need to reference ANDREW STAFFIER (NP) in forms, claims, or directories.
Is ANDREW STAFFIER (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does ANDREW STAFFIER (NP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for ANDREW STAFFIER (NP). Clinical services aligned with this taxonomy classification.
What location shows for ANDREW STAFFIER (NP)?
We surface Everett, Massachusetts for ANDREW STAFFIER (NP) based on available NPPES addresses.
Is ANDREW STAFFIER (NP) a real provider?
This page reflects official NPPES data for NPI 1114926094. Always confirm identity and privileges with the practice and licensing boards.

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