MRS. TIERNEY KATHLEEN ELISON (CNM) – Advanced Practice Midwife, NPI 1689226441
Advanced Practice Midwife
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
270 CERTIFIED NURSE MIDWIFE (CNM) in MA
Provider Addresses for MRS. TIERNEY KATHLEEN ELISON (CNM)
495 Western Ave
Brighton, MA 021351007
Phone: (617) 783-0500
Fax: (617) 783-5514
Type: Location
43 Foundry Ave
Waltham, MA 024538313
Phone: (781) 693-3842
Fax: (781) 693-3805
Type: Location
280 Union St
Lynn, MA 019011353
Phone: (781) 596-3800
Type: Location
330 MT AUBURN ST
PARSONS 2
CAMBRIDGE, MA 021385597
Phone: (617) 499-5151
Fax: (617) 547-0636
Type: Mailing
Kent Hospital, 455, Toll Gate Road, Apponaug Historic District, Apponaug, Warwick, Kent County, Rhode Island, 02886, United States
PROFESSIONAL REVENUE CYCLE & CREDENTIALING
WARWICK, RI 028862759
Phone: (401) 273-0641
Type: Mailing
Imperial Place, Providence Jewelry Manufacturing Historic District, Providence, Providence County, Rhode Island, 02903, United States
PROVIDENCE, RI 029034642
Phone: (401) 727-4800
Type: Location
280 UNION ST
LYNN, MA 019011353
Phone: (781) 596-3800
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: 2021-04-01
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 |
|---|---|---|---|---|
| I20210401000279 | I | Certified Nurse Midwife (Cnm) | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02135)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| - | MA | |
| Nurse Practitioner | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| Internal Medicine | MA | |
| - | MA | |
| - | MA |
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