KALANA K MORDARSKI (NP) – Adult Health Nurse Practitioner, NPI 1396704003

KALANA K MORDARSKI (NP) is a healthcare provider. based in Braintree, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 194366 (MA). The NPI Number for KALANA K MORDARSKI (NP) is 1396704003

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
KALANA K MORDARSKI (NP)
NPI
1396704003
Phone
(781) 849-1000
Address
111 GROSSMAN DR
Enumeration Date
21 March 2006
Last Update Date
5 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6177400600
Graduation Year
1995 (31 years ago)
PAC ID
6406877224
Group Practice PAC ID
4789588641
Professional Enrollment ID
I20051208000443
Address ID
MA021694339QU1250XSTXX300
Telehealth
Yes

Contacts

Secure Messaging
kmordarskinp1080@direct.atrius.masshiway.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

8,972 NURSE PRACTITIONER in MA

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Provider Addresses for KALANA K MORDARSKI (NP)

  • 111, Grossman Drive, The Marketplace at Braintree, Braintree, Norfolk County, Massachusetts, 02184, United States

    BRAINTREE, MA 021844997

    Phone: (781) 849-1000

    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: 2005-12-08

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
I20051208000443INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8859$0
36415Insertion of needle into vein for collection of blood sample8751$0
99215Established patient office or other outpatient visit, 40-54 minutes7739$0
83036Hemoglobin a1c level5645$0
80061Blood test, lipids (cholesterol and triglycerides)3836$0
View full utilization report →

Insurance plans in this area (ZIP 02184)

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Provider's Procedures

KALANA K MORDARSKI (NP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERMA83036Hemoglobin A1C level1815

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: 4789588641View full group profile
NameSpecialtyState
-MA
Family PracticeMA
D E R M A T O L O G YMA
Emergency MedicineMA
Internal Medicine, Cardiovascular Disease (Cardiology)MA
-MA
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
Internal MedicineMA
O T O L A R Y N G O L O G YMA

Reviews

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Frequently asked questions

What NPI should I save for KALANA K MORDARSKI (NP)?
Save NPI 1396704003 if you need a stable reference for KALANA K MORDARSKI (NP).
Is KALANA K MORDARSKI (NP)'s NPI currently valid?
The extract we use shows KALANA K MORDARSKI (NP) as active.
Can you summarize KALANA K MORDARSKI (NP)'s specialty in plain language?
Clinically, the directory lists KALANA K MORDARSKI (NP) with Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place KALANA K MORDARSKI (NP)?
The snapshot lists Braintree, Massachusetts for KALANA K MORDARSKI (NP); download NPPES for the complete set.
Is KALANA K MORDARSKI (NP) a real provider?
This page reflects official NPPES data for NPI 1396704003. Always confirm identity and privileges with the practice and licensing boards.

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