DENNIS TAN (NP-C) – Nurse Practitioner, NPI 1255903696

DENNIS TAN (NP-C) is a healthcare provider. based in Hyde park, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. RN2313462 (MA). The NPI Number for DENNIS TAN (NP-C) is 1255903696

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DENNIS TAN (NP-C)
NPI
1255903696
Phone
(617) 364-2588
Address
745 River St
Enumeration Date
14 July 2021
Last Update Date
23 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7816462848
Graduation Year
2022 (4 years ago)
PAC ID
1456712124
Group Practice PAC ID
6103725031
Professional Enrollment ID
I20230727001260
Address ID
MA024764738AR22XXXSTXX311
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for DENNIS TAN (NP-C)

  • 745 River St

    Hyde Park, MA 021366441

    Phone: (617) 364-2588

    Type: Location

  • 300 MT AUBURN ST

    SUITE 517

    CAMBRIDGE, MA 021385665

    Phone:

    Type: Mailing

  • 300 MOUNT AUBURN ST STE 517

    CAMBRIDGE, MA 021385665

    Phone: (617) 492-3500

    Type: Location

  • 66 HUDSON ST APT H805

    BOSTON, MA 021111950

    Phone: (617) 840-7581

    Type: Mailing

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: 2023-07-27

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
I20230727001260INurse 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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes252113$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes15796$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes2821$0
99316Nursing facility discharge management, more than 30 minutes2626$0
99315Nursing facility discharge day management, 30 minutes or less1313$0
View full utilization report →

Insurance plans in this area (ZIP 02136)

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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: 6103725031View full group profile

Reviews

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Frequently asked questions

Where can patients find DENNIS TAN (NP-C)'s NPI?
You can confirm DENNIS TAN (NP-C) with NPI 1255903696; it appears in the national provider directory.
Is DENNIS TAN (NP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DENNIS TAN (NP-C) treat or focus on?
Patients typically see DENNIS TAN (NP-C) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is DENNIS TAN (NP-C)'s primary listing?
We display Hyde Park, Massachusetts because that is what the record indicates for DENNIS TAN (NP-C).
What if Hyde Park, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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