KERRILYN PESSIN (FNP) – Family Nurse Practitioner, NPI 1285023291

KERRILYN PESSIN (FNP) is a healthcare provider. based in Holliston, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN211113 (MA). The NPI Number for KERRILYN PESSIN (FNP) is 1285023291

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
KERRILYN PESSIN (FNP)
NPI
1285023291
Phone
(774) 293-0658
Address
120 MORGANS WAY
Enumeration Date
14 January 2015
Last Update Date
14 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5085320223
Graduation Year
1999 (27 years ago)
PAC ID
1850619305
Group Practice PAC ID
4981915659
Professional Enrollment ID
I20150413000916
Address ID
MA017014682FR959XXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for KERRILYN PESSIN (FNP)

  • 120 MORGANS WAY

    HOLLISTON, MA 017462256

    Phone: (774) 293-0658

    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: 2015-04-13

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
I20150413000916INurse 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 01746)

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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: 4981915659View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm KERRILYN PESSIN (FNP)'s NPI?
Yes. KERRILYN PESSIN (FNP) is listed with NPI 1285023291 in the public NPI dataset.
Is KERRILYN PESSIN (FNP) listed as active for patients and plans?
The listing shows KERRILYN PESSIN (FNP) as active in the NPI system.
What taxonomy line describes KERRILYN PESSIN (FNP)?
For research purposes, treat KERRILYN PESSIN (FNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect KERRILYN PESSIN (FNP) on a map?
Expect Holliston, Massachusetts as a primary anchor for KERRILYN PESSIN (FNP) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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