DORIS ODION-UKPEBOR (RN, NP) – Nurse Practitioner, NPI 1619649118

DORIS ODION-UKPEBOR (RN, NP) is a healthcare provider. based in Boston, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, NP. They hold a License No. RN264026 (MA). The NPI Number for DORIS ODION-UKPEBOR (RN, NP) is 1619649118

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
DORIS ODION-UKPEBOR (RN, NP)
NPI
1619649118
Phone
(857) 654-1000
Address
780 Albany St
Enumeration Date
2 October 2021
Last Update Date
5 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7819263339
Graduation Year
2021 (5 years ago)
PAC ID
2264825439
Group Practice PAC ID
4880063726
Professional Enrollment ID
I20220210002001
Address ID
MA023684505RA81XXXPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for DORIS ODION-UKPEBOR (RN, NP)

  • 780 Albany St

    Boston, MA 021182755

    Phone: (857) 654-1000

    Fax: (857) 654-1100

    Type: Location

  • 5 LOTHROP AVE

    MILTON, MA 021861407

    Phone: (617) 309-8062

    Type: Mailing

  • 150 S HUNTINGTON AVE

    BOSTON, MA 021304817

    Phone: (617) 232-9500

    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: 2022-02-10

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
I20220210002001INurse 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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes17250$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes10442$0
View full utilization report →

Insurance plans in this area (ZIP 02118)

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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: 4880063726View full group profile
NameSpecialtyState
Nurse PractitionerAZ
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Internal MedicineMO

Reviews

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Frequently asked questions

What NPI should I save for DORIS ODION-UKPEBOR (RN, NP)?
Save NPI 1619649118 if you need a stable reference for DORIS ODION-UKPEBOR (RN, NP).
Is DORIS ODION-UKPEBOR (RN, NP) active in the national directory?
DORIS ODION-UKPEBOR (RN, NP)'s public NPI profile is in an active state.
What does DORIS ODION-UKPEBOR (RN, NP) treat or focus on?
Patients typically see DORIS ODION-UKPEBOR (RN, NP) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for DORIS ODION-UKPEBOR (RN, NP)?
We surface Boston, Massachusetts for DORIS ODION-UKPEBOR (RN, NP) based on available NPPES addresses.
Is DORIS ODION-UKPEBOR (RN, NP) a real provider?
This page reflects official NPPES data for NPI 1619649118. Always confirm identity and privileges with the practice and licensing boards.

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