DR. DOREEN PHILLIPS (APRN) – Case Management Registered Nurse, NPI 1942831565
Case Management Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210831001932 | I | Nurse Practitioner | TX | TBD |
| I20220623000582 | I | Nurse Practitioner | CA | TBD |
| I20250805000450 | I | Nurse Practitioner | MA | 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 01742)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | CA | |
| Marriage And Family Therapist | CA | |
| Nurse Practitioner | CA | |
| Marriage And Family Therapist | CA | |
| Marriage And Family Therapist | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | TX | |
| Marriage And Family Therapist | CA | |
| Marriage And Family Therapist | CA |
Reviews
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