ANNE KONERU – Psychiatric/Mental Health Nurse Practitioner, NPI 1992940365
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,971 NURSE PRACTITIONER in MA
Provider Addresses for ANNE KONERU
417 LIBERTY ST STE 2
SPRINGFIELD, MA 011043766
Phone: (413) 301-9355
Type: Location
701 Cottage Grove Rd Ste B110
Bloomfield, CT 060024217
Phone: (203) 637-5882
Fax: (855) 524-3980
Type: Location
Paul Baertschi Attorney, 920, 2nd Avenue South, Minneapolis, Hennepin County, Minnesota, 55402, United States
SUITE 400
MINNEAPOLIS, MN 554023318
Phone: (612) 225-1534
Type: Mailing
701 COTTAGE GROVE RD STE B110
BLOOMFIELD, CT 060024217
Phone: (203) 637-5882
Fax: (855) 524-3980
Type: Mailing
525 BUCKLAND RD
SOUTH WINDSOR, CT 060743746
Phone: (860) 644-4241
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $52.
Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.
Last reported payment date: 2024-05-17 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($27).
Total Amount
$52
General + Research + Ownership
Payments
2
Total payment records
General Amount
$52
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $27 |
| Axsome Therapeutics, Inc. | $26 |
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: 2009-10-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091030000142 | 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 01104)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | RI | |
| - | MA | |
| Nurse Practitioner | MA | |
| Clinical Social Worker | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| Nurse Practitioner | NY | |
| - | MA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.