MS. ODETA HYSENAJ (PA) – Physician Assistant, NPI 1306835129
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MS. ODETA HYSENAJ (PA)
111, Huntoon Memorial Highway, Rochdale, Leicester, Worcester County, Massachusetts, 01542, United States
INNOVATIVE PHYSICIAN SERVICES LLC
ROCHDALE, MA 01542
Phone: (508) 892-6000
Fax: (508) 892-6001
Type: Location
PO BOX 391
INNOVATIVE PHYSICIAN SERVICES LLC
WILBRAHAM, MA 010950391
Phone: (508) 595-0531
Fax: (508) 829-5367
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: 2005-10-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051012000767 | I | Physician Assistant | MA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 883 | 250 | $0 |
| 99316 | Nursing facility discharge management, more than 30 minutes | 71 | 66 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 70 | 62 | $0 |
Insurance plans in this area (ZIP 01542)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MA | |
| Clinical Social Worker | MA | |
| Hospice/Palliative Care, Internal Medicine | MA | |
| - | MA | |
| - | MA | |
| Family Practice | MA | |
| P S Y C H I A T R Y | MA | |
| - | MA | |
| Physician Assistant | MA | |
| Hospice/Palliative Care, Geriatric Medicine | MA |
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