ROSE-MARIE KHNAIZIR (NP) – Gerontology Nurse Practitioner, NPI 1437696465

ROSE-MARIE KHNAIZIR (NP) is a healthcare provider. based in East boston, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN265869 (MA). The NPI Number for ROSE-MARIE KHNAIZIR (NP) is 1437696465

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ROSE-MARIE KHNAIZIR (NP)
NPI
1437696465
Phone
(617) 569-5800
Address
10 GOVE ST
Enumeration Date
29 January 2017
Last Update Date
30 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7817424491
Graduation Year
2017 (9 years ago)
PAC ID
6103178082
Group Practice PAC ID
5496907099
Professional Enrollment ID
I20181003002174
Address ID
MA020721763ST286XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

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Provider Addresses for ROSE-MARIE KHNAIZIR (NP)

  • East Boston Neighborhood Health Center, 10, Gove Street, East Boston, Boston, Suffolk County, Massachusetts, 02152, United States

    EAST BOSTON, MA 021281920

    Phone: (617) 569-5800

    Fax: (617) 568-4780

    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: 2018-10-03

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
I20181003002174INurse 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
99284Emergency department visit with moderate level of medical decision making3635$0
View full utilization report →

Insurance plans in this area (ZIP 02128)

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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: 5496907099View full group profile
NameSpecialtyState
Nurse PractitionerMA
-MA
-MA
Nurse PractitionerMA
Nurse PractitionerMA
-MA
Nurse PractitionerMA
Nurse PractitionerMA
Emergency MedicineMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

Is ROSE-MARIE KHNAIZIR (NP) listed with a National Provider Identifier?
Yes — ROSE-MARIE KHNAIZIR (NP) has NPI 1437696465 on file in the registry.
Is there an active status for ROSE-MARIE KHNAIZIR (NP)?
For scheduling context, ROSE-MARIE KHNAIZIR (NP) is shown as active in the registry.
What kind of doctor is ROSE-MARIE KHNAIZIR (NP)?
ROSE-MARIE KHNAIZIR (NP) is associated with Gerontology Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Massachusetts is ROSE-MARIE KHNAIZIR (NP) registered?
Use East Boston, Massachusetts as the headline location for ROSE-MARIE KHNAIZIR (NP) here.
Does ROSE-MARIE KHNAIZIR (NP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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