HEATHER LYNN ENDRISS (NNP-BC, PMHNP-BC) – Neonatal Nurse Practitioner, NPI 1275847535
Neonatal Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
8,972 NURSE PRACTITIONER in MA
Provider Addresses for HEATHER LYNN ENDRISS (NNP-BC, PMHNP-BC)
280 CHESTNUT ST
2ND FL
SPRINGFIELD, MA 011991001
Phone: (413) 794-5700
Type: Mailing
759 CHESTNUT ST
SPRINGFIELD, MA 011071619
Phone: (413) 794-5370
Fax: (413) 794-5100
Type: Location
119 Belmont St
Worcester, MA 016052903
Phone: (508) 334-6206
Fax: (508) 334-6083
Type: Location
1213 E Clay St
Richmond, VA 232985071
Phone: (804) 828-2467
Fax: (804) 828-6662
Type: Location
190 E Bannock St
Boise, ID 837126241
Phone: (208) 381-2222
Type: Location
PO Box 415348 Umass Memorial Medical Group Inc
Boston, MA 022416241
Phone: (800) 225-8885
Fax: (508) 334-1977
Type: Location
1250 E Marshall St
Richmond, VA 232985023
Phone: (804) 828-2467
Fax: (804) 828-6662
Type: Location
PO BOX 780125
PHILADELPHIA, PA 191780125
Phone: (804) 922-4844
Type: Mailing
1000 E BROAD ST
RICHMOND, VA 232191930
Phone: (804) 828-2467
Fax: (804) 828-6662
Type: Location
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: 2025-11-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20140109001255 | I | Nurse Practitioner | MA | TBD |
| I20180507002751 | I | Nurse Practitioner | ID | TBD |
| I20251119002663 | I | Nurse Practitioner | VA | 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 01199)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ID | |
| Physician Assistant | AZ | |
| Nurse Practitioner | NE | |
| Nurse Practitioner | ID | |
| Nurse Practitioner | ID | |
| Nurse Practitioner | ID | |
| Nurse Practitioner | ID | |
| Psychiatry, Addiction Medicine | ID | |
| Nurse Practitioner | ID | |
| Clinical Social Worker | ID |
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