MELISSA BETH COUGHLIN (RN) – Registered Nurse, NPI 1336848266

MELISSA BETH COUGHLIN (RN) is a healthcare provider. based in Medfield, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. RN251769 (MA). The NPI Number for MELISSA BETH COUGHLIN (RN) is 1336848266

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA BETH COUGHLIN (RN)
NPI
1336848266
Phone
(617) 905-5845
Address
1 TUBWRECK DR
Enumeration Date
28 February 2023
Last Update Date
28 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6177325500
Graduation Year
2023 (3 years ago)
PAC ID
2466809249
Group Practice PAC ID
3870405988
Professional Enrollment ID
I20231116000551
Address ID
MA021156110BO75XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for MELISSA BETH COUGHLIN (RN)

  • 1 TUBWRECK DR

    MEDFIELD, MA 020521430

    Phone: (617) 905-5845

    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: 2023-11-16

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
I20231116000551INurse 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 02052)

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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: 3870405988View full group profile
NameSpecialtyState
N E U R O S U R G E R YMD
-MA
Critical Care (Intensivists), Pulmonary DiseaseFL
Physician AssistantMA
N E U R O L O G YMA
Nurse PractitionerMA
Orthopedic SurgeryMA
Physician AssistantNH
Nurse PractitionerMA
P A T H O L O G YMA

Reviews

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Frequently asked questions

Does MELISSA BETH COUGHLIN (RN) have a public NPI I can cite?
Public records show MELISSA BETH COUGHLIN (RN) under NPI 1336848266.
Is MELISSA BETH COUGHLIN (RN) currently accepting referrals based on NPI status?
Registry metadata lists MELISSA BETH COUGHLIN (RN) as active.
How should patients interpret MELISSA BETH COUGHLIN (RN)'s specialty?
The extract shows Registered Nurse for MELISSA BETH COUGHLIN (RN). Clinical services aligned with this taxonomy classification.
Which community is linked to MELISSA BETH COUGHLIN (RN)?
MELISSA BETH COUGHLIN (RN) shows a connection to Medfield, Massachusetts in registry-derived data.
Can I export MELISSA BETH COUGHLIN (RN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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