MRS. STEPHANIE A DOHERTY (APRN) – Gerontology Nurse Practitioner, NPI 1275102667
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,972 NURSE PRACTITIONER in MA
Provider Addresses for MRS. STEPHANIE A DOHERTY (APRN)
4 Courthouse Ln Ste 9
Chelmsford, MA 018241731
Phone: (978) 459-8400
Type: Location
10 Park Ave
Londonderry, NH 030533690
Phone: (443) 790-4719
Fax: (603) 216-3800
Type: Location
6 TSIENNETO RD STE 300
DERRY, NH 030381584
Phone: (603) 216-0400
Fax: (603) 216-3800
Type: Mailing
4 COURTHOUSE LN STE 9
CHELMSFORD, MA 018241731
Phone: (978) 459-8400
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 69 Open Payments records for all available years, with a total value of $1,333.
Total Amount is formed as General ($1,333) + Research ($0) + Ownership ($0) = $1,333.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Novo Nordisk Inc ($260).
Total Amount
$1,333
General + Research + Ownership
Payments
69
Total payment records
General Amount
$1,333
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $260 |
| ABBVIE INC. | $230 |
| Astellas Pharma US Inc | $141 |
| Sumitomo Pharma America, Inc. | $124 |
| AstraZeneca Pharmaceuticals LP | $68 |
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: 2024-08-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220505001879 | I | Nurse Practitioner | MA | TBD |
| I20240808004678 | I | Nurse Practitioner | NH | TBD |
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.
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 01824)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MA | |
| Internal Medicine | NH | |
| Internal Medicine | NH | |
| Nurse Practitioner | NH | |
| - | NH | |
| - | NH | |
| - | NH | |
| Internal Medicine | NH | |
| Internal Medicine | NH | |
| Internal Medicine | NH |
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