MS. ROBERTA ANN FERN (NP) – Adult Health Nurse Practitioner, NPI 1558454306

MS. ROBERTA ANN FERN (NP) is a healthcare provider. based in Boston, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 150040 (MA). The NPI Number for MS. ROBERTA ANN FERN (NP) is 1558454306

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
MS. ROBERTA ANN FERN (NP)
NPI
1558454306
Phone
(617) 667-9600
Address
330 BROOKLINE AVE
Enumeration Date
2 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6177548612
Graduation Year
1985 (41 years ago)
PAC ID
5092785758
Group Practice PAC ID
4486567104
Professional Enrollment ID
I20040729000578
Address ID
MA022155400BO330XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,049 NURSE PRACTITIONER in MA

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Provider Addresses for MS. ROBERTA ANN FERN (NP)

  • Beth Israel Deaconess Medical Center East Campus, 330, Brookline Avenue, Audubon Square, Boston, Suffolk County, Massachusetts, 02215, United States

    BOSTON, MA 02215

    Phone: (617) 667-9600

    Type: Location

  • 11LANCASTER RD

    NEWTON, MA 02458

    Phone: (617) 964-1687

    Type: Mailing

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: 2004-07-29

PECOS data refreshed: 2026-06-15

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
I20040729000578INurse 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 minutes10076$0
99213Established patient office or other outpatient visit, 20-29 minutes5344$0
99441Telephone medical discussion with physician, 5-10 minutes2523$0
View full utilization report →

Insurance plans in this area (ZIP 02215)

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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: 4486567104View full group profile

Reviews

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Frequently asked questions

Where can patients find MS. ROBERTA ANN FERN (NP)'s NPI?
You can confirm MS. ROBERTA ANN FERN (NP) with NPI 1558454306; it appears in the national provider directory.
Does this profile mean MS. ROBERTA ANN FERN (NP) is currently active?
Yes — MS. ROBERTA ANN FERN (NP) appears active in the national provider directory.
What does MS. ROBERTA ANN FERN (NP) treat or focus on?
Patients typically see MS. ROBERTA ANN FERN (NP) under the specialty Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MS. ROBERTA ANN FERN (NP)?
The page summarizes Boston, Massachusetts for MS. ROBERTA ANN FERN (NP); expand the address list for detail.
Is MS. ROBERTA ANN FERN (NP) a real provider?
This page reflects official NPPES data for NPI 1558454306. Always confirm identity and privileges with the practice and licensing boards.

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