MYLAH NICOLE MAHON-DAVENDA (NP) – Nurse Practitioner, NPI 1649615154
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,971 NURSE PRACTITIONER in MA
Provider Addresses for MYLAH NICOLE MAHON-DAVENDA (NP)
PO BOX 415348
BOSTON, MA 022415348
Phone: (800) 225-8885
Fax: (508) 334-1977
Type: Mailing
41 MALL ROAD
HOSPITAL MEDICINE
BURLINGTON, MA 018050001
Phone: (781) 744-8000
Fax: (781) 744-1597
Type: Location
141 DAYTON ST
DANVERS, MA 019231016
Phone: (781) 608-1968
Type: Mailing
565 TURNPIKE ST STE 85
NORTH ANDOVER, MA 018455936
Phone: (978) 519-4114
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: 2013-10-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131021001003 | I | Nurse Practitioner | MA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 348 | 228 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 23 | 23 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 02241)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| Physician Assistant | NH | |
| Pulmonary Disease, Internal Medicine, Critical Care (Intensivists), Internal Medicine | NH | |
| Nurse Practitioner | NH | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | NH | |
| Nurse Practitioner | MA | |
| Pulmonary Disease | ME | |
| Nurse Practitioner | MA | |
| Critical Care (Intensivists) | MA |
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