KATRINA DENISE SCANNELLI (PA-C) – Medical Physician Assistant, NPI 1912981143
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,093 PHYSICIAN ASSISTANT in MA
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Provider Addresses for KATRINA DENISE SCANNELLI (PA-C)
Cambridge Hospital, 1493, Cambridge Street, Inman Square, Cambridge, Middlesex County, Massachusetts, 02139, United States
CAMBRIDGE, MA 021391047
Phone: (617) 665-1000
Type: Mailing
1915 E VICTORY DRIVE
SUITE E #1059
SAVANNAH, GA 31404
Phone: (912) 429-3749
Type: Mailing
42 CHAUCER ST
SAVANNAH, GA 314103824
Phone: (912) 429-3749
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: 2023-03-08
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 |
|---|---|---|---|---|
| I20061109000043 | I | Physician Assistant | GA | TBD |
| I20090403000548 | I | Physician Assistant | MA | TBD |
| I20230308000179 | I | Physician Assistant | PA | 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 02139)
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