JOHANNA FORMAN LAM (NP) – Family Nurse Practitioner, NPI 1629486477

JOHANNA FORMAN LAM (NP) is a healthcare provider. based in East boston, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN2276817 (MA). The NPI Number for JOHANNA FORMAN LAM (NP) is 1629486477

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JOHANNA FORMAN LAM (NP)
NPI
1629486477
Phone
(617) 569-5800
Address
10 Gove St
Enumeration Date
24 July 2014
Last Update Date
8 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6179100368
Graduation Year
2014 (12 years ago)
PAC ID
6305068172
Group Practice PAC ID
7618125931
Professional Enrollment ID
I20141111001024
Address ID
MA024620000NE2000XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for JOHANNA FORMAN LAM (NP)

  • 10 Gove St

    East Boston, MA 021281920

    Phone: (617) 569-5800

    Fax: (617) 568-4780

    Type: Location

  • 2000 WASHINGTON ST STE 544

    NEWTON, MA 024621624

    Phone: (617) 910-0368

    Fax: (888) 806-8144

    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: 2014-11-11

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
I20141111001024INurse 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
99203New patient office or other outpatient visit, 30-44 minutes8585$0
69210Removal of impacted ear wax3636$0
99204New patient office or other outpatient visit, 45-59 minutes1919$0
92504Exam of ear using a microscope1818$0
31575Diagnostic exam of voice box using a flexible endoscope1616$0
View full utilization report →

Insurance plans in this area (ZIP 02128)

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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: 7618125931View full group profile
NameSpecialtyState
D E R M A T O L O G YMA
O T O L A R Y N G O L O G YMA
Qualified AudiologistMA
Qualified AudiologistMA
O T O L A R Y N G O L O G YMA
O T O L A R Y N G O L O G YMA
Qualified AudiologistMA
Otolaryngology, Plastic And Reconstructive SurgeryMA
Qualified AudiologistMA
O T O L A R Y N G O L O G YMA

Reviews

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Frequently asked questions

What is the standard ID for JOHANNA FORMAN LAM (NP) in the U.S.?
In the U.S., JOHANNA FORMAN LAM (NP) is identified by NPI 1629486477.
Quick check: is JOHANNA FORMAN LAM (NP) active?
Public NPPES data shows JOHANNA FORMAN LAM (NP) with an active NPI status right now.
How should patients interpret JOHANNA FORMAN LAM (NP)'s specialty?
The extract shows Family Nurse Practitioner for JOHANNA FORMAN LAM (NP). Clinical services aligned with this taxonomy classification.
What geographic area is tied to JOHANNA FORMAN LAM (NP)?
JOHANNA FORMAN LAM (NP) is associated with East Boston, Massachusetts in the same public data insurers reference.
Who maintains JOHANNA FORMAN LAM (NP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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