KATIE ELLIOTT FADAKAR (WHNP) – Nurse Practitioner, NPI 1265755466

KATIE ELLIOTT FADAKAR (WHNP) is a healthcare provider. based in Newton, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials WHNP. They hold a License No. RN278296 (MA). The NPI Number for KATIE ELLIOTT FADAKAR (WHNP) is 1265755466

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
KATIE ELLIOTT FADAKAR (WHNP)
NPI
1265755466
Phone
(978) 273-9140
Address
2014 WASHINGTON ST
Enumeration Date
2 March 2010
Last Update Date
9 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6177262000
Graduation Year
2005 (21 years ago)
PAC ID
3577692359
Group Practice PAC ID
6507803806
Professional Enrollment ID
I20100604000077
Address ID
MA021142621BO55XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for KATIE ELLIOTT FADAKAR (WHNP)

  • 2014 WASHINGTON ST

    NEWTON, MA 024621607

    Phone: (978) 273-9140

    Type: Location

  • 31 CANDLESTICK RD

    NORTH ANDOVER, MA 018453235

    Phone: (978) 273-9140

    Type: Mailing

  • 266, Strawberry Circle, Fernway, Cranberry Township, Butler County, Pennsylvania, 16066, United States

    CRANBERRY TOWNSHIP, PA 160668208

    Phone: (978) 273-9140

    Type: Location

  • 55 Fruit St

    Boston, MA 021142621

    Phone: (978) 273-9140

    Type: Location

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 $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-03-05 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$19
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: 2010-06-04

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
I20100604000077INurse 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 02462)

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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: 6507803806View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMA
Internal MedicineMA
-MA
-MA
Anesthesiology, Pain ManagementMA
-MA
Clinical PsychologistMA
Internal MedicineMA
Internal MedicineMA
-MA

Reviews

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Frequently asked questions

How do payers reference KATIE ELLIOTT FADAKAR (WHNP)?
For KATIE ELLIOTT FADAKAR (WHNP), use NPI 1265755466 as the unique 10-digit identifier.
Active or inactive — what applies to KATIE ELLIOTT FADAKAR (WHNP)?
You should see KATIE ELLIOTT FADAKAR (WHNP) as active in CMS-hosted NPPES data.
What expertise is attributed to KATIE ELLIOTT FADAKAR (WHNP)?
KATIE ELLIOTT FADAKAR (WHNP)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with KATIE ELLIOTT FADAKAR (WHNP)?
Directory geography for KATIE ELLIOTT FADAKAR (WHNP) centers on Newton, Massachusetts.
When was this NPI issued?
Enumeration for KATIE ELLIOTT FADAKAR (WHNP) is noted as March 2, 2010 where the registry provides it.

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