MRS. KELLEY SWEENEY GREGOROVIC (RN, MSN, FNP-BC) – Family Nurse Practitioner, NPI 1649570854

MRS. KELLEY SWEENEY GREGOROVIC (RN, MSN, FNP-BC) is a healthcare provider. based in Medford, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, MSN, FNP-BC. They hold a License No. RN236050 (MA). The NPI Number for MRS. KELLEY SWEENEY GREGOROVIC (RN, MSN, FNP-BC) is 1649570854

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLEY SWEENEY GREGOROVIC (RN, MSN, FNP-BC)
NPI
1649570854
Phone
(781) 306-6370
Address
170 GOVERNORS AVE
Enumeration Date
22 October 2010
Last Update Date
27 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7816656606
Graduation Year
2010 (16 years ago)
PAC ID
1759543689
Group Practice PAC ID
4385638782
Professional Enrollment ID
I20120510000143
Address ID
MA021514543RE425XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

9,049 NURSE PRACTITIONER in MA

Provider Addresses for MRS. KELLEY SWEENEY GREGOROVIC (RN, MSN, FNP-BC)

  • 170 GOVERNORS AVE

    DIABETES & ENDOCRINOLOGY CENTER

    MEDFORD, MA 021551643

    Phone: (781) 306-6370

    Fax: (781) 306-6375

    Type: Mailing

  • 30 NEW CROSSING RD STE 200

    READING, MA 018673271

    Phone: (781) 213-5150

    Fax: (781) 213-5155

    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: 2012-05-10

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
I20120510000143INurse 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 minutes2725$0
View full utilization report →

Insurance plans in this area (ZIP 02155)

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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: 4385638782View full group profile

Reviews

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Frequently asked questions

What federal number belongs to MRS. KELLEY SWEENEY GREGOROVIC (RN, MSN, FNP-BC)?
The federal identifier for MRS. KELLEY SWEENEY GREGOROVIC (RN, MSN, FNP-BC) is NPI 1649570854.
Is MRS. KELLEY SWEENEY GREGOROVIC (RN, MSN, FNP-BC) currently active in the NPI registry?
CMS-published data lists MRS. KELLEY SWEENEY GREGOROVIC (RN, MSN, FNP-BC) as an active registrant.
Can you summarize MRS. KELLEY SWEENEY GREGOROVIC (RN, MSN, FNP-BC)'s specialty in plain language?
Clinically, the directory lists MRS. KELLEY SWEENEY GREGOROVIC (RN, MSN, FNP-BC) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. KELLEY SWEENEY GREGOROVIC (RN, MSN, FNP-BC)?
The page summarizes Medford, Massachusetts for MRS. KELLEY SWEENEY GREGOROVIC (RN, MSN, FNP-BC); expand the address list for detail.
How can I contact MRS. KELLEY SWEENEY GREGOROVIC (RN, MSN, FNP-BC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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