DINAH SUPER (NP) – Family Nurse Practitioner, NPI 1720461957

DINAH SUPER (NP) is a healthcare provider. based in Framingham, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN2272664 (MA). The NPI Number for DINAH SUPER (NP) is 1720461957

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DINAH SUPER (NP)
NPI
1720461957
Phone
(508) 370-0113
Address
354 WAVERLY ST
Enumeration Date
7 July 2015
Last Update Date
6 April 2018

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
6179725100
Graduation Year
2015 (11 years ago)
PAC ID
1052699378
Group Practice PAC ID
4789588641
Professional Enrollment ID
I20161020001520
Address ID
MA024725091WA485XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:10State licenses:3Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for DINAH SUPER (NP)

  • 354 WAVERLY ST

    FRAMINGHAM, MA 017027079

    Phone: (508) 370-0113

    Type: Location

  • 650 LINCOLN ST

    WORCESTER, MA 016052060

    Phone:

    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: 2016-10-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161020001520INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes5343$0
36415Insertion of needle into vein for collection of blood sample5243$0
99214Established patient office or other outpatient visit, 30-39 minutes5138$0
87086Bacterial colony count, urine2417$0
80061Blood test, lipids (cholesterol and triglycerides)2121$0
View full utilization report →

Insurance plans in this area (ZIP 01702)

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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: 4789588641View full group profile
NameSpecialtyState
-MA
Family PracticeMA
D E R M A T O L O G YMA
Emergency MedicineMA
Internal Medicine, Cardiovascular Disease (Cardiology)MA
-MA
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
Internal MedicineMA
O T O L A R Y N G O L O G YMA

Reviews

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Frequently asked questions

What identifier follows DINAH SUPER (NP) across health systems?
The NPI 1720461957 uniquely identifies DINAH SUPER (NP) in U.S. healthcare data.
Does the public listing show DINAH SUPER (NP) as active?
DINAH SUPER (NP)'s NPI record reflects an active status in NPPES.
What does the directory say DINAH SUPER (NP) does?
Insurance directories may phrase it differently, but here DINAH SUPER (NP) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to DINAH SUPER (NP)?
The directory associates DINAH SUPER (NP) with Framingham, Massachusetts. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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