MAHLET JIMMA – Family Nurse Practitioner, NPI 1447809785

MAHLET JIMMA is a healthcare provider. based in Everett, Massachusetts. specializing in NURSE PRACTITIONER. They hold a License No. RN2291477 (MA). The NPI Number for MAHLET JIMMA is 1447809785

Main info

Female
Sole Proprietor
8 Years Of Experience
Name
MAHLET JIMMA
NPI
1447809785
Phone
(857) 389-8677
Address
186 LINDEN ST
Enumeration Date
9 September 2019
Last Update Date
9 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9783543943
Graduation Year
2018 (8 years ago)
PAC ID
7113356676
Group Practice PAC ID
9436470119
Professional Enrollment ID
I20200403001472
Address ID
MA019041419LY480XXSTXX304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

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Provider Addresses for MAHLET JIMMA

  • 186, Linden Street, West Everett, Everett, Middlesex County, Massachusetts, 02149-2512, United States

    EVERETT, MA 021492808

    Phone: (857) 389-8677

    Type: Mailing

  • Supercuts Watertown, 1;11, Mount Auburn Street, Watertown, Middlesex County, Massachusetts, 02172, United States

    WATERTOWN, MA 024723981

    Phone: (857) 214-2970

    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: 2020-04-03

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
I20200403001472INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes9291$0
99214Established patient office or other outpatient visit, 30-39 minutes8584$0
99203New patient office or other outpatient visit, 30-44 minutes4949$0
81003Automated urinalysis test4847$0
U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc2727$0
View full utilization report →

Insurance plans in this area (ZIP 02149)

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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: 9436470119View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for MAHLET JIMMA?
MAHLET JIMMA — NPI 1447809785 — is the standard way to identify this listing.
Is MAHLET JIMMA still practicing?
MAHLET JIMMA is currently listed as active in the public NPI registry.
What healthcare role does MAHLET JIMMA hold?
Scheduling teams often label MAHLET JIMMA under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does MAHLET JIMMA serve?
MAHLET JIMMA's listing highlights Everett, Massachusetts; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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