MS. KATHLEEN ANNE NIELSEN (APRN BC) – Adult Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1700970837
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
199 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in MA
Provider Addresses for MS. KATHLEEN ANNE NIELSEN (APRN BC)
100 CUMMINGS RD
SUITE 207
DANVERS, MA 078482007
Phone: (978) 791-3879
Fax: (857) 302-3549
Type: Location
239 BLACK POINT RD
SCARBOROUGH, ME 040749356
Phone: (973) 222-2897
Type: Mailing
507 N Clark St
Powell, WY 824351915
Phone: (307) 754-7970
Fax: (307) 333-0470
Type: Location
748 Main St
Lander, WY 825203036
Phone: (307) 332-2231
Fax: (307) 332-9338
Type: Location
University of Mississippi Field Station, 15, County Road 2078, Abbeville, Lafayette County, Mississippi, 38601, United States
LAFAYETTE, NJ 078482007
Phone: (973) 579-6700
Type: Mailing
29 SCHOOL ST
CONCORD, NH 033014033
Phone: (603) 226-7505
Type: Mailing
10 WEST ST
CONCORD, NH 033013548
Phone: (603) 225-0123
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.
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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: 2021-11-17
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 |
|---|---|---|---|---|
| I20211117001943 | I | Certified Clinical Nurse Specialist (Cns) | WY | 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 | 119 | 21 | $0 |
Insurance plans in this area (ZIP 07848)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | ND | |
| Mental Health Counselor | WY | |
| Mental Health Counselor | WY | |
| - | WY | |
| - | MI | |
| Clinical Social Worker | WY | |
| Clinical Social Worker | WY | |
| - | WY | |
| Clinical Social Worker | WY |
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