ANDREA DANDRIDGE (FNP. MPH) – Family Nurse Practitioner, NPI 1760636948

ANDREA DANDRIDGE (FNP. MPH) is a healthcare provider. based in Dorchester, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. MPH. They hold a License No. RN282527 (MA). The NPI Number for ANDREA DANDRIDGE (FNP. MPH) is 1760636948

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA DANDRIDGE (FNP. MPH)
NPI
1760636948
Phone
Not provided
Address
500 COLUMBIA ROAD
Enumeration Date
13 November 2008
Last Update Date
9 January 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6176669577
Graduation Year
2008 (18 years ago)
PAC ID
4183885049
Group Practice PAC ID
1355385196
Professional Enrollment ID
I20221026000240
Address ID
MA021442947SO255XXSTXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

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Provider Addresses for ANDREA DANDRIDGE (FNP. MPH)

  • Columbia Road, Mount Bowdoin, Dorchester, Boston, Suffolk County, Massachusetts, 02121, United States

    UPHAMS CORNER HEALTH CENTER

    DORCHESTER, MA 02125

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $47.

Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.

Last reported payment date: 2024-01-11 • Largest payer in this snapshot: ABBVIE INC. ($47).

Total Amount

$47

General + Research + Ownership

Payments

3

Total payment records

General Amount

$47

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$47
View all Open Payments →|Open Payments Risk Radar →

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: 2022-10-26

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
I20221026000240INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02125)

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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: 1355385196View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerMA
Family PracticeMA
Nurse PractitionerMA
Preventive MedicineMA

Reviews

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Frequently asked questions

What identifier follows ANDREA DANDRIDGE (FNP. MPH) across health systems?
The NPI 1760636948 uniquely identifies ANDREA DANDRIDGE (FNP. MPH) in U.S. healthcare data.
Does the public listing show ANDREA DANDRIDGE (FNP. MPH) as active?
ANDREA DANDRIDGE (FNP. MPH)'s NPI record reflects an active status in NPPES.
Which specialty label fits ANDREA DANDRIDGE (FNP. MPH)?
NPPES ties ANDREA DANDRIDGE (FNP. MPH) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to ANDREA DANDRIDGE (FNP. MPH)?
The directory associates ANDREA DANDRIDGE (FNP. MPH) with Dorchester, Massachusetts. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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