EDITH ESTRADA JUHLIN (APRN-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1184221921

EDITH ESTRADA JUHLIN (APRN-BC) is a healthcare provider. based in Andover, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-BC. They hold a License No. APRN05058 (RI). The NPI Number for EDITH ESTRADA JUHLIN (APRN-BC) is 1184221921

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
EDITH ESTRADA JUHLIN (APRN-BC)
NPI
1184221921
Phone
(310) 633-0703
Address
30 KATHLEEN DR
Enumeration Date
5 October 2020
Last Update Date
9 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6172011002
Graduation Year
2023 (3 years ago)
PAC ID
8123540002
Group Practice PAC ID
0547570806
Professional Enrollment ID
I20250320000859
Address ID
MA021261819MA1192XAVEX400
Telehealth
Yes
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:5State licenses:3Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for EDITH ESTRADA JUHLIN (APRN-BC)

  • 30 KATHLEEN DR

    ANDOVER, MA 018101902

    Phone: (310) 633-0703

    Type: Location

  • 1445 Wampanoag Trl Unit 202

    Riverside, RI 029151019

    Phone: (401) 437-4116

    Type: Location

  • 85 PATTON RD

    DEVENS, MA 014344401

    Phone: (978) 615-5223

    Type: Mailing

  • 1192 BLUE HILL AVE

    MATTAPAN, MA 021261819

    Phone: (617) 201-1002

    Fax: (844) 564-1409

    Type: Location

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: 2025-03-20

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
I20250320000859INurse 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 01810)

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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: 0547570806View full group profile
NameSpecialtyState
Nurse PractitionerMA
P S Y C H I A T R YMA
Internal MedicineMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerCT
Clinical Social WorkerMA

Reviews

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Frequently asked questions

Does EDITH ESTRADA JUHLIN (APRN-BC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — EDITH ESTRADA JUHLIN (APRN-BC) uses 1184221921.
Does the file indicate EDITH ESTRADA JUHLIN (APRN-BC) is practicing under active NPI?
Directory data currently reports EDITH ESTRADA JUHLIN (APRN-BC) as active.
What healthcare role does EDITH ESTRADA JUHLIN (APRN-BC) hold?
Scheduling teams often label EDITH ESTRADA JUHLIN (APRN-BC) under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does EDITH ESTRADA JUHLIN (APRN-BC) serve?
EDITH ESTRADA JUHLIN (APRN-BC)'s listing highlights Andover, Massachusetts; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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