ANNIE H CLARK (NP) – Nurse Practitioner, NPI 1437783560
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,971 NURSE PRACTITIONER in MA
Provider Addresses for ANNIE H CLARK (NP)
59 HULL ST APT 4
BOSTON, MA 021131108
Phone: (207) 577-6619
Type: Mailing
ATI WORKSITE SOLUTIONS, GE AVIATION
1000 WESTERN AVENUE
LYNN, MA 01905
Phone: (781) 594-0100
Type: Location
PO BOX 415348
BOSTON, MA 022415348
Phone: (800) 225-8885
Type: Mailing
55 LAKE AVE N
WORCESTER, MA 016550002
Phone: (508) 334-3550
Type: Location
275 Nichols Rd
Fitchburg, MA 014201919
Phone: (978) 343-5048
Type: Location
801 ALBANY ST
FL G
BOSTON, MA 02119
Phone:
Type: Mailing
830 HARRISON AVENUE
MOAKLEY, 3RD FL
BOSTON, MA 02118
Phone: (617) 638-6428
Fax: (617) 638-5756
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $621.
Total Amount is formed as General ($621) + Research ($0) + Ownership ($0) = $621.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: ABBVIE INC. ($198).
Total Amount
$621
General + Research + Ownership
Payments
8
Total payment records
General Amount
$621
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $198 |
| Genentech USA, Inc. | $139 |
| E.R. Squibb & Sons, L.L.C. | $118 |
| AstraZeneca Pharmaceuticals LP | $113 |
| Janssen Biotech, Inc. | $39 |
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: 2021-12-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211223000563 | I | Nurse Practitioner | MA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 81 | 54 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 30 | 21 | $0 |
Insurance plans in this area (ZIP 02113)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| - | MA | |
| - | MA | |
| Family Practice | MA | |
| Physician Assistant | MA | |
| Pulmonary Disease, Critical Care (Intensivists), Allergy/Immunology | MA | |
| - | MA | |
| - | MA | |
| Internal Medicine | MA | |
| Nurse Practitioner | MA |
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