SANDRA J RAE (RNC,WHNP) – Women's Health Nurse Practitioner, NPI 1750423430
Women's Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,971 NURSE PRACTITIONER in MA
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Provider Addresses for SANDRA J RAE (RNC,WHNP)
85, Nonotuck Street, Highlands, Holyoke, Hampden County, Massachusetts, 01040, United States
HOLYOKE, MA 010402635
Phone: (413) 732-1620
Type: Mailing
3550 Main St, Main Street, Springfield, Hampden County, Massachusetts, 01199, United States
SUITE 201
SPRINGFIELD, MA 011071089
Phone: (413) 732-1620
Fax: (617) 616-1617
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $612.
Total Amount is formed as General ($612) + Research ($0) + Ownership ($0) = $612.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Merz Pharmaceuticals, LLC ($240).
Total Amount
$612
General + Research + Ownership
Payments
22
Total payment records
General Amount
$612
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merz Pharmaceuticals, LLC | $240 |
| ABBVIE INC. | $207 |
| PAINTEQ LLC | $71 |
| Vertos Medical, Inc. | $28 |
| Bioventus LLC | $24 |
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: 2011-02-15
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 |
|---|---|---|---|---|
| I20110215000789 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 01040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CT | |
| Physician Assistant | MA | |
| Physician Assistant | MA | |
| Physical Therapist In Private Practice | MA | |
| Physical Medicine And Rehabilitation | NY | |
| Physical Therapist In Private Practice | MA | |
| Physical Medicine And Rehabilitation | MA | |
| Physical Therapist In Private Practice | MA | |
| Physician Assistant | MA | |
| Physical Medicine And Rehabilitation | MA |
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