MS. KATHLEEN MARIE ANDOLINA (RN, CS, PC) – Adult Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1184796617

MS. KATHLEEN MARIE ANDOLINA (RN, CS, PC) is a healthcare provider. based in Boston, Massachusetts. specializing in CERTIFIED CLINICAL NURSE SPECIALIST (CNS). They hold the professional credentials RN, CS, PC. They hold a License No. 145820 (MA). The NPI Number for MS. KATHLEEN MARIE ANDOLINA (RN, CS, PC) is 1184796617

Main info

Female
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
MS. KATHLEEN MARIE ANDOLINA (RN, CS, PC)
NPI
1184796617
Phone
(774) 469-0299
Address
82 MARLBOROUGH ST
Enumeration Date
13 November 2006
Last Update Date
4 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7744690299
Graduation Year
1986 (40 years ago)
PAC ID
3870539174
Professional Enrollment ID
I20050707000787
Address ID
MA021162020BO82XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

199 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in MA

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Provider Addresses for MS. KATHLEEN MARIE ANDOLINA (RN, CS, PC)

  • 82, Marlborough Street, Back Bay, Boston, Suffolk County, Massachusetts, 02116, United States

    BOSTON, MA 021162020

    Phone: (774) 469-0299

    Fax: (617) 250-8502

    Type: Location

  • 11, Stuart Street, Medfield, Norfolk County, Massachusetts, 02081, United States

    MEDFIELD, MA 020523136

    Phone: (508) 359-2506

    Fax: (617) 250-8502

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $532.

Total Amount is formed as General ($532) + Research ($0) + Ownership ($0) = $532.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($136).

Total Amount

$532

General + Research + Ownership

Payments

8

Total payment records

General Amount

$532

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2005-07-07

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
I20050707000787ICertified Clinical Nurse Specialist (Cns)MATBD

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 02116)

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Reviews

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Frequently asked questions

How do I look up MS. KATHLEEN MARIE ANDOLINA (RN, CS, PC) by NPI?
Use NPI 1184796617 when you need to reference MS. KATHLEEN MARIE ANDOLINA (RN, CS, PC) in forms, claims, or directories.
Is MS. KATHLEEN MARIE ANDOLINA (RN, CS, PC)'s NPI currently valid?
The extract we use shows MS. KATHLEEN MARIE ANDOLINA (RN, CS, PC) as active.
Does MS. KATHLEEN MARIE ANDOLINA (RN, CS, PC) list a primary specialty?
If you are matching referrals, note Adult Psychiatric/Mental Health Clinical Nurse Specialist for MS. KATHLEEN MARIE ANDOLINA (RN, CS, PC). Clinical services aligned with this taxonomy classification.
Where is MS. KATHLEEN MARIE ANDOLINA (RN, CS, PC)'s primary listing?
We display Boston, Massachusetts because that is what the record indicates for MS. KATHLEEN MARIE ANDOLINA (RN, CS, PC).
Is MS. KATHLEEN MARIE ANDOLINA (RN, CS, PC) a real provider?
This page reflects official NPPES data for NPI 1184796617. Always confirm identity and privileges with the practice and licensing boards.

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