MS. MARTHA JANE HAVERLY (MSN, APRN-BC, WHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1942476445

MS. MARTHA JANE HAVERLY (MSN, APRN-BC, WHNP) is a healthcare provider. based in Lynn, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN-BC, WHNP. They hold a License No. 167151 (MA). The NPI Number for MS. MARTHA JANE HAVERLY (MSN, APRN-BC, WHNP) is 1942476445

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MS. MARTHA JANE HAVERLY (MSN, APRN-BC, WHNP)
NPI
1942476445
Phone
(781) 592-8675
Address
235 OCallaghan Way
Enumeration Date
5 May 2008
Last Update Date
8 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5088620514
Graduation Year
1999 (27 years ago)
PAC ID
0446488076
Group Practice PAC ID
6901866706
Professional Enrollment ID
I20140106000610
Address ID
MA026012902HY310XXRDXX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for MS. MARTHA JANE HAVERLY (MSN, APRN-BC, WHNP)

  • 235 OCallaghan Way

    Lynn, MA 01905

    Phone: (781) 592-8675

    Fax: (781) 592-8695

    Type: Location

  • 259 NORTH ST STE 1A

    HYANNIS, MA 026013834

    Phone: (508) 568-9311

    Type: Location

  • Classical High School, 235, O'Callaghan Way, West Lynn, Lynn, Essex County, Massachusetts, 01905, United States

    LYNN, MA 01905

    Phone: (781) 592-8675

    Fax: (781) 592-8695

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $370.

Total Amount is formed as General ($370) + Research ($0) + Ownership ($0) = $370.

Last reported payment date: 2024-06-12 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($269).

Total Amount

$370

General + Research + Ownership

Payments

10

Total payment records

General Amount

$370

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-12

Latest reported date

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: 2014-01-06

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
I20140106000610INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes28455$0
90833Psychotherapy with evaluation and management visit, 30 minutes26354$0
90792Psychiatric diagnostic evaluation with medical services1616$0
View full utilization report →

Insurance plans in this area (ZIP 01905)

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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: 6901866706View full group profile
NameSpecialtyState
Nurse PractitionerTN
Clinical Social WorkerMA
Mental Health CounselorRI
-MA
Mental Health CounselorMA
Mental Health CounselorMA
Clinical Social WorkerMA
-MA
Mental Health CounselorMA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

Can I use this page to confirm MS. MARTHA JANE HAVERLY (MSN, APRN-BC, WHNP)'s NPI?
Yes. MS. MARTHA JANE HAVERLY (MSN, APRN-BC, WHNP) is listed with NPI 1942476445 in the public NPI dataset.
Is MS. MARTHA JANE HAVERLY (MSN, APRN-BC, WHNP) still practicing?
MS. MARTHA JANE HAVERLY (MSN, APRN-BC, WHNP) is currently listed as active in the public NPI registry.
What taxonomy line describes MS. MARTHA JANE HAVERLY (MSN, APRN-BC, WHNP)?
For research purposes, treat MS. MARTHA JANE HAVERLY (MSN, APRN-BC, WHNP) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does MS. MARTHA JANE HAVERLY (MSN, APRN-BC, WHNP) list a practice location?
Patients near Lynn, Massachusetts may find MS. MARTHA JANE HAVERLY (MSN, APRN-BC, WHNP) in results; validate coverage separately.
Is the information about MS. MARTHA JANE HAVERLY (MSN, APRN-BC, WHNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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