JANE TEVNAN (NP) – Adult Health Nurse Practitioner, NPI 1407022619

JANE TEVNAN (NP) is a healthcare provider. based in Plymouth, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 181950 (MA). The NPI Number for JANE TEVNAN (NP) is 1407022619

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
JANE TEVNAN (NP)
NPI
1407022619
Phone
(508) 746-5773
Address
139 SANDWICH ST
Enumeration Date
7 May 2008
Last Update Date
2 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5083762515
Graduation Year
2007 (19 years ago)
PAC ID
3476615154
Group Practice PAC ID
3476630450
Professional Enrollment ID
I20081215000769
Address ID
MA020541612MI730XXSTXX300
Telehealth
Yes

Contacts

Secure Messaging
Tevnan.Jane.CRM@direct.partners.masshiway.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

8,971 NURSE PRACTITIONER in MA

Provider Addresses for JANE TEVNAN (NP)

  • 139, Sandwich Street, Jabez Corner, Plymouth, Plymouth County, Massachusetts, 02360, United States

    PLYMOUTH, MA 023602449

    Phone: (508) 746-5773

    Fax: (508) 746-8422

    Type: Mailing

  • 171 MAIN ST STE 203B

    ASHLAND, MA 017211187

    Phone: (508) 881-3029

    Fax: (508) 881-1752

    Type: Mailing

  • 730 MAIN ST

    MILLIS, MA 020541612

    Phone: (508) 376-2515

    Fax: (508) 376-9932

    Type: Location

  • 105 WEBSTER ST

    STE 8

    HANOVER, MA 023391227

    Phone: (508) 746-5773

    Fax: (508) 746-8422

    Type: Mailing

  • Plymouth Cordage Company Museum, 10, Cordage Park Circle, Cordage, Plymouth, Plymouth County, Massachusetts, 02360-7310, United States

    SUITE 211

    PLYMOUTH, MA 023607318

    Phone: (508) 746-4858

    Fax: (508) 830-6850

    Type: Location

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: 2008-12-15

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
I20081215000769INurse 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
36415Insertion of needle into vein for collection of blood sample1413$0
View full utilization report →

Insurance plans in this area (ZIP 02360)

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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: 3476630450View full group profile
NameSpecialtyState
Physician AssistantMA
Internal MedicineMA
Internal MedicineMA
Nurse PractitionerMA
Internal MedicineMA
-MA
Nurse PractitionerMA
Family PracticeMA
-MA
Internal MedicineMA

Reviews

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Frequently asked questions

How do I look up JANE TEVNAN (NP) by NPI?
Use NPI 1407022619 when you need to reference JANE TEVNAN (NP) in forms, claims, or directories.
Is JANE TEVNAN (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does JANE TEVNAN (NP) treat or focus on?
Patients typically see JANE TEVNAN (NP) under the specialty Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for JANE TEVNAN (NP)?
The page summarizes Plymouth, Massachusetts for JANE TEVNAN (NP); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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