MARTHA AYANO – Family Nurse Practitioner, NPI 1205847050

MARTHA AYANO is a healthcare provider. based in Brockton, Massachusetts. specializing in NURSE PRACTITIONER. They hold a License No. I29409 (MA). The NPI Number for MARTHA AYANO is 1205847050

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MARTHA AYANO
NPI
1205847050
Phone
(508) 559-6699
Address
63 MAIN ST
Enumeration Date
10 August 2006
Last Update Date
14 June 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5085596699
Graduation Year
2000 (26 years ago)
PAC ID
0749226579
Group Practice PAC ID
3870491699
Professional Enrollment ID
I20050701000663
Address ID
MA023014042BR63XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

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Provider Addresses for MARTHA AYANO

  • 63, Main Street, Brockton, Plymouth County, Massachusetts, 02301, United States

    BROCKTON, MA 023014042

    Phone: (508) 559-6699

    Fax: (508) 559-5073

    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: 2005-07-01

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
I20050701000663INurse 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 02301)

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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: 3870491699View full group profile
NameSpecialtyState
Family PracticeMA
Nurse PractitionerMA
O P T O M E T R YMA
Certified Nurse Midwife (Cnm)MA
-MA
-MA
-MA
-MA
O B S T E T R I C S/ G Y N E C O L O G YMA
Family PracticeMA

Reviews

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Frequently asked questions

Can I cross-check MARTHA AYANO using NPI 1205847050?
NPI 1205847050 belongs to MARTHA AYANO; compare other details if you need extra assurance.
Would MARTHA AYANO appear as active to a payer?
You can treat MARTHA AYANO as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MARTHA AYANO?
At a glance, MARTHA AYANO is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is MARTHA AYANO registered?
Use Brockton, Massachusetts as the headline location for MARTHA AYANO here.
Can I trust this NPI listing for MARTHA AYANO?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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