WAYNE ETHIER (MSN, PMHNP-BC) – Licensed Practical Nurse, NPI 1992095798
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 WAYNE ETHIER (MSN, PMHNP-BC)
6 LIBERTY SQ STE 91234
BOSTON, MA 021095800
Phone: (508) 422-0404
Type: Mailing
5 RICHFIELD CIR
CARVER, MA 023301902
Phone: (508) 422-0404
Fax: (508) 422-0404
Type: Location
6 LIBERTY SQ STE 91536
BOSTON, MA 021095800
Phone: (508) 422-0404
Fax: (857) 578-1200
Type: Mailing
1860 SW Fountainview Blvd
Port St Lucie, FL 349864535
Phone: (561) 954-5151
Fax: (857) 578-1200
Type: Location
21 FOX RUN
APT 6
MARSHFIELD, MA 020502283
Phone: (781) 500-9310
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $71.
Total Amount is formed as General ($71) + Research ($0) + Ownership ($0) = $71.
Last reported payment date: 2024-03-20 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($51).
Total Amount
$71
General + Research + Ownership
Payments
3
Total payment records
General Amount
$71
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $51 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $20 |
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: 2025-02-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20241022004518 | I | Nurse Practitioner | MA | TBD |
| I20250214000943 | I | Nurse Practitioner | FL | 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 02109)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MA | |
| Nurse Practitioner | MA | |
| Mental Health Counselor | MA | |
| Clinical Social Worker | MA |
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