KATHRYN JOAN HOLLETT – Family Medicine Physician, NPI 1619965654

KATHRYN JOAN HOLLETT is a healthcare provider. based in Lawrence, Massachusetts. specializing in FAMILY PRACTICE. They hold a License No. 79788 (MA). The NPI Number for KATHRYN JOAN HOLLETT is 1619965654

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN JOAN HOLLETT
NPI
1619965654
Phone
(978) 686-3017
Address
73D WINTHROP AVE
Enumeration Date
13 October 2005
Last Update Date
30 July 2018

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9784687381
Graduation Year
1990 (36 years ago)
PAC ID
7113986720
Group Practice PAC ID
7719291434
Professional Enrollment ID
I20041008000588
Address ID
MA019822218SO15XXXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,900 FAMILY PRACTICE in MA

Provider Addresses for KATHRYN JOAN HOLLETT

  • Winthrop Avenue, South Lawrence, Lawrence, Essex County, Massachusetts, 01843, United States

    PLAZA 114

    LAWRENCE, MA 018433716

    Phone: (978) 686-3017

    Fax: (978) 685-4280

    Type: Mailing

  • LAHEY HEALTH PRIMARY CARE, GLOUCESTER

    298 WASHINGTON STREET

    GLOUCESTER, MA 01930

    Phone: (978) 283-2726

    Fax: (978) 283-0840

    Type: Location

  • 73D Winthrop Ave

    Plaza 114

    Lawrence, MA 018433716

    Phone: (978) 686-3017

    Fax: (978) 685-4280

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $102.

Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.

Last reported payment date: 2023-04-29 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($102).

Total Amount

$102

General + Research + Ownership

Payments

1

Total payment records

General Amount

$102

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-10-08

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
I20041008000588IFamily PracticeMATBD

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 minutes220126$0
99214Established patient office or other outpatient visit, 30-39 minutes14799$0
99215Established patient office or other outpatient visit, 40-54 minutes10073$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8484$0
G0008Administration of influenza virus vaccine5856$0
View full utilization report →

Insurance plans in this area (ZIP 01843)

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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: 7719291434View full group profile
NameSpecialtyState
Family PracticeMA
Nurse PractitionerMA
Nurse PractitionerMA
Family PracticeMA
Internal MedicineNH
Nurse PractitionerMA
Family PracticeMA
Family PracticeMA
Physician AssistantMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

Can I cross-check KATHRYN JOAN HOLLETT using NPI 1619965654?
NPI 1619965654 belongs to KATHRYN JOAN HOLLETT; compare other details if you need extra assurance.
Active or inactive — what applies to KATHRYN JOAN HOLLETT?
You should see KATHRYN JOAN HOLLETT as active in CMS-hosted NPPES data.
What clinical focus is listed for KATHRYN JOAN HOLLETT?
At a glance, KATHRYN JOAN HOLLETT is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is KATHRYN JOAN HOLLETT registered?
Use Lawrence, Massachusetts as the headline location for KATHRYN JOAN HOLLETT here.
Can I trust this NPI listing for KATHRYN JOAN HOLLETT?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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