SUSAN M KELLEHER (NP) – Pediatric Nurse Practitioner, NPI 1306931019

SUSAN M KELLEHER (NP) is a healthcare provider. based in Westford, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 166328 (MA). The NPI Number for SUSAN M KELLEHER (NP) is 1306931019

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN M KELLEHER (NP)
NPI
1306931019
Phone
(978) 577-0437
Address
133 LITTLETON RD
Enumeration Date
4 October 2006
Last Update Date
14 August 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9785770437
Graduation Year
1989 (37 years ago)
PAC ID
2062676844
Group Practice PAC ID
0143448514
Professional Enrollment ID
I20180413000451
Address ID
MA018863198WE133XXRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

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Provider Addresses for SUSAN M KELLEHER (NP)

  • Emerson Hospital Health Center, 133, Littleton Road, Westford, Middlesex County, Massachusetts, 01886-3139, United States

    SUITE 101

    WESTFORD, MA 018863115

    Phone: (978) 577-0437

    Fax: (978) 692-4276

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2023-04-27 • Largest payer in this snapshot: kaleo, Inc. ($50).

Total Amount

$50

General + Research + Ownership

Payments

2

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
kaleo, Inc.$50
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: 2018-04-13

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
I20180413000451INurse 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 01886)

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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: 0143448514View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerMA
Pediatric MedicineMA
A L L E R G Y/ I M M U N O L O G YMA
Nurse PractitionerMA
Pediatric MedicineMA
Nurse PractitionerMA
-MA
Nurse PractitionerMA
-MA

Reviews

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Frequently asked questions

Is there an official ID for SUSAN M KELLEHER (NP) in U.S. healthcare records?
The official identifier for SUSAN M KELLEHER (NP) is NPI 1306931019.
Active or inactive — what applies to SUSAN M KELLEHER (NP)?
You should see SUSAN M KELLEHER (NP) as active in CMS-hosted NPPES data.
What area of care is associated with SUSAN M KELLEHER (NP)?
SUSAN M KELLEHER (NP)'s record emphasizes Pediatric Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SUSAN M KELLEHER (NP) located near Westford?
SUSAN M KELLEHER (NP) currently maps to Westford, Massachusetts in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.