BEVERLY DEBRUYN (NP) – Pediatric Nurse Practitioner, NPI 1649504705

BEVERLY DEBRUYN (NP) is a healthcare provider. based in Southbridge, Massachusetts. specializing in Pediatric Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 200081 (MA). The NPI Number for BEVERLY DEBRUYN (NP) is 1649504705

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
BEVERLY DEBRUYN (NP)
NPI
1649504705
Phone
(508) 909-7799
Address
PO BOX 40
Enumeration Date
22 September 2009
Last Update Date
22 December 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087659771
Graduation Year
1987 (39 years ago)
PAC ID
2365765518
Group Practice PAC ID
8123087319
Professional Enrollment ID
I20141219001889
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for BEVERLY DEBRUYN (NP)

  • 40, Ocean View Place, Rakaia Huts, Selwyn District, Canterbury, New Zealand

    SOUTHBRIDGE, MA 015500040

    Phone: (508) 909-7799

    Type: Mailing

  • Harrington HealthCare at Webster, 340, Thompson Road, Webster, Worcester County, Massachusetts, 01570, United States

    WEBSTER, MA 015701509

    Phone: (508) 949-8905

    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: 2014-12-19

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
I20141219001889INurse 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 minutes9826$0
View full utilization report →

Insurance plans in this area (ZIP 01550)

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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: 8123087319View full group profile

Reviews

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Frequently asked questions

Where can patients find BEVERLY DEBRUYN (NP)'s NPI?
You can confirm BEVERLY DEBRUYN (NP) with NPI 1649504705; it appears in the national provider directory.
Is BEVERLY DEBRUYN (NP) active in the national directory?
BEVERLY DEBRUYN (NP)'s public NPI profile is in an active state.
What does BEVERLY DEBRUYN (NP) treat or focus on?
Patients typically see BEVERLY DEBRUYN (NP) under the specialty Pediatric Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does BEVERLY DEBRUYN (NP) practice in Massachusetts?
You will see Southbridge, Massachusetts on file for BEVERLY DEBRUYN (NP) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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