DR. DOREEN PHILLIPS (APRN) – Case Management Registered Nurse, NPI 1942831565

DR. DOREEN PHILLIPS (APRN) is a healthcare provider. based in Concord, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 859555 (TX). The NPI Number for DR. DOREEN PHILLIPS (APRN) is 1942831565

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOREEN PHILLIPS (APRN)
NPI
1942831565
Phone
(917) 634-5311
Address
300 Baker Ave
Enumeration Date
1 February 2020
Last Update Date
9 May 2026

Doctor Profile

Medical School Name
UNIVERSITY OF THE INCARNATE WORD SCHOOL OF OSTEO MEDICINE
Secondary Phone
8584275060
Graduation Year
2020 (6 years ago)
PAC ID
8123424181
Group Practice PAC ID
8628463015
Professional Enrollment ID
I20220623000582
Address ID
CA921225976SA5060XPLXX301
Telehealth
Yes
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:6State licenses:8Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for DR. DOREEN PHILLIPS (APRN)

  • 300 Baker Ave

    Concord, MA 017422131

    Phone: (917) 634-5311

    Type: Location

  • 2373 Central Park Blvd Unit 100

    Denver, CO 802382300

    Phone: (917) 634-5311

    Type: Location

  • 66 E Main St

    Westminster, MD 211575008

    Phone: (917) 634-5311

    Type: Location

  • 206 N Randolph St

    Champaign, IL 618203949

    Phone: (917) 634-5311

    Type: Location

  • 400 Union Ave SE

    Olympia, WA 985012059

    Phone: (917) 634-5311

    Type: Location

  • 109 W 27th St Rm 5S

    New York, NY 100016208

    Phone: (917) 634-5311

    Type: Location

  • 5907 STEVENS CREEK CT

    RICHMOND, TX 774692236

    Phone:

    Type: Mailing

  • 300 BAKER AVE STE 300

    CONCORD, MA 017422124

    Phone: (833) 744-5935

    Fax: (833) 777-6653

    Type: Mailing

  • 400 UNION AVE SE STE 115

    OLYMPIA, WA 985012059

    Phone: (281) 249-1269

    Type: Location

  • 4435 E Chandler Blvd

    Phoenix, AZ 850487649

    Phone: (917) 634-5311

    Type: Location

  • 100 Pine St

    San Francisco, CA 941115102

    Phone: (917) 634-5311

    Type: Location

  • 522 W RIVERSIDE AVE STE 4284

    SPOKANE, WA 992010580

    Phone:

    Type: Mailing

  • 14090 SOUTHWEST FWY STE 300

    SUGAR LAND, TX 774783679

    Phone: (833) 744-5935

    Fax: (833) 777-6653

    Type: Mailing

  • 9036 35TH AVE SW STE B

    SEATTLE, WA 981263821

    Phone: (832) 390-4630

    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: 2025-08-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210831001932INurse PractitionerTXTBD
I20220623000582INurse PractitionerCATBD
I20250805000450INurse 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 01742)

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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: 8628463015View full group profile
NameSpecialtyState
Clinical Social WorkerCA
Marriage And Family TherapistCA
Nurse PractitionerCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerTX
Marriage And Family TherapistCA
Marriage And Family TherapistCA

Reviews

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Frequently asked questions

Where can patients find DR. DOREEN PHILLIPS (APRN)'s NPI?
You can confirm DR. DOREEN PHILLIPS (APRN) with NPI 1942831565; it appears in the national provider directory.
Is DR. DOREEN PHILLIPS (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. DOREEN PHILLIPS (APRN)?
The page reflects Case Management Registered Nurse for DR. DOREEN PHILLIPS (APRN). Clinical services aligned with this taxonomy classification.
Where is DR. DOREEN PHILLIPS (APRN)'s primary listing?
We display Concord, Massachusetts because that is what the record indicates for DR. DOREEN PHILLIPS (APRN).
How can I contact DR. DOREEN PHILLIPS (APRN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.