KATELYN MICHELLE PENTO – Family Nurse Practitioner, NPI 1164067831
Family Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,971 NURSE PRACTITIONER in MA
Provider Addresses for KATELYN MICHELLE PENTO
87 Bluejay Way
Pembroke, MA 023593341
Phone: (781) 831-2217
Type: Location
87 BLUEJAY WAY
PEMBROKE, MA 023593341
Phone:
Type: Mailing
330 WASHINGTON ST
WEYMOUTH, MA 021882932
Phone: (781) 626-5160
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $213.
Total Amount is formed as General ($213) + Research ($0) + Ownership ($0) = $213.
Last reported payment date: 2024-06-17 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($68).
Total Amount
$213
General + Research + Ownership
Payments
9
Total payment records
General Amount
$213
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2020-03-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200319001094 | 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 | 187 | 186 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 31 | 31 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 13 | 13 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 12 | 12 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 11 | 11 | $0 |
Insurance plans in this area (ZIP 02359)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| Emergency Medicine | MA | |
| Emergency Medicine | MA | |
| Nurse Practitioner | MA | |
| Emergency Medicine | MA | |
| Nurse Practitioner | MA | |
| Emergency Medicine | MA | |
| Emergency Medicine | MA | |
| Physician Assistant | MA | |
| - | MA |
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