ELIZABETH C O'DOHERTY (NP) – Family Nurse Practitioner, NPI 1720397755
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,971 NURSE PRACTITIONER in MA
Provider Addresses for ELIZABETH C O'DOHERTY (NP)
76 SUMMER ST
FITCHBURG, MA 014205783
Phone: (978) 342-3457
Fax: (978) 342-3659
Type: Mailing
76 Summer St
Fitchburg, MA 014205783
Phone: (978) 342-3457
Fax: (978) 342-3659
Type: Location
10 Dorrance St Ste 700
Providence, RI 029032014
Phone: (833) 229-0957
Type: Location
1400 COMPUTER DR STE 301
WESTBOROUGH, MA 015811790
Phone: (617) 420-5316
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: 2026-03-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
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 |
|---|---|---|---|---|
| I20141006002332 | I | Nurse Practitioner | MA | TBD |
| I20200811001680 | I | Nurse Practitioner | RI | TBD |
| I20201002000919 | I | Nurse Practitioner | NY | TBD |
| I20210701000921 | I | Nurse Practitioner | NH | TBD |
| I20230926001322 | I | Nurse Practitioner | CT | TBD |
| I20240627003041 | I | Nurse Practitioner | ME | TBD |
| I20260312001274 | I | Nurse Practitioner | VT | 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 |
|---|---|---|---|---|
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 01420)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | DE | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | NH | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | NC |
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