DEREK T TERRELL (PMHNP-BC) – Licensed Practical Nurse, NPI 1841522398
Licensed Practical Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,972 NURSE PRACTITIONER in MA
Provider Addresses for DEREK T TERRELL (PMHNP-BC)
6 MAIN STREET EXT UNIT 3560
PLYMOUTH, MA 023617028
Phone: (617) 792-6144
Type: Mailing
44 FREEMAN DR
PLYMOUTH, MA 023606887
Phone: (617) 792-6144
Type: Location
460, Quincy Avenue, South Commons, Quincy, Norfolk County, Massachusetts, 02169, United States
QUINCY, MA 021698130
Phone: (617) 847-1950
Fax: (617) 774-1490
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: 2024-02-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20230418001005 | I | Nurse Practitioner | MA | TBD |
| I20231102000483 | I | Nurse Practitioner | NJ | TBD |
| I20240213001582 | I | Nurse Practitioner | NY | 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 02361)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | NY | |
| Clinical Social Worker | NY | |
| Nurse Practitioner | MA | |
| Mental Health Counselor | NY | |
| Mental Health Counselor | NY | |
| Mental Health Counselor | NY | |
| Mental Health Counselor | NY | |
| Clinical Social Worker | NY | |
| Clinical Social Worker | NY | |
| Clinical Social Worker | NY |
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