KATHERINE HAVANIDIS – Women's Health Nurse Practitioner, NPI 1205336419

KATHERINE HAVANIDIS is a healthcare provider. based in Boston, Massachusetts. specializing in NURSE PRACTITIONER. They hold a License No. RN2288161 (MA). The NPI Number for KATHERINE HAVANIDIS is 1205336419

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE HAVANIDIS
NPI
1205336419
Phone
(617) 523-2394
Address
1 HAWTHORNE PL STE 109
Enumeration Date
14 February 2018
Last Update Date
5 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6175232394
Graduation Year
2017 (9 years ago)
PAC ID
0749544377
Group Practice PAC ID
9830082411
Professional Enrollment ID
I20180508001742
Address ID
MA021142333BO1XXXXPLXX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for KATHERINE HAVANIDIS

  • 1 HAWTHORNE PL STE 109

    BOSTON, MA 021142333

    Phone: (617) 523-2394

    Type: Mailing

  • 39, Hatherly Road, Eastview Park, Waltham, Middlesex County, Massachusetts, 02452, United States

    WALTHAM, MA 024525735

    Phone: (339) 222-0957

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-04-23 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-05-08

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
I20180508001742INurse 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
81002Urinalysis, manual test887693$0
99213Established patient office or other outpatient visit, 20-29 minutes727646$0
51798Ultrasound measurement of bladder capacity after voiding309282$0
51720Instillation of anti-cancer drug into bladder15526$0
99442Telephone medical discussion with physician, 11-20 minutes115108$0
View full utilization report →

Insurance plans in this area (ZIP 02114)

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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: 9830082411View full group profile
NameSpecialtyState
U R O L O G YMA

Reviews

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Frequently asked questions

Where can patients find KATHERINE HAVANIDIS's NPI?
You can confirm KATHERINE HAVANIDIS with NPI 1205336419; it appears in the national provider directory.
Is KATHERINE HAVANIDIS currently active in the NPI registry?
CMS-published data lists KATHERINE HAVANIDIS as an active registrant.
What field does KATHERINE HAVANIDIS work in?
You can think of KATHERINE HAVANIDIS as practicing within Women's Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for KATHERINE HAVANIDIS?
The page summarizes Boston, Massachusetts for KATHERINE HAVANIDIS; expand the address list for detail.
How can I contact KATHERINE HAVANIDIS?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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