MRS. PHYLLIS MCKIERNAN (RN, APN-C) – Adult Health Nurse Practitioner, NPI 1194939652
Adult Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. PHYLLIS MCKIERNAN (RN, APN-C)
20 PROSPECT AVE STE 400
HACKENSACK, NJ 076011941
Phone: (201) 996-5832
Type: Location
14, Manning Road, Paramus, Bergen County, New Jersey, 07652, United States
PARAMUS, NJ 076521800
Phone: (201) 251-6474
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 127 Open Payments records for all available years, with a total value of $36,048.
Total Amount is formed as General ($36,048) + Research ($0) + Ownership ($0) = $36,048.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: SANOFI-AVENTIS U.S. LLC ($30,562).
Total Amount
$36,048
General + Research + Ownership
Payments
127
Total payment records
General Amount
$36,048
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SANOFI-AVENTIS U.S. LLC | $30,562 |
| Pharmacosmos Therapeutics Inc. | $2,702 |
| Legend Biotech USA Inc. | $1,963 |
| JAZZ PHARMACEUTICALS INC. | $150 |
| Alexion Pharmaceuticals, Inc. | $127 |
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: 2014-12-19
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 |
|---|---|---|---|---|
| I20141219001692 | I | Nurse Practitioner | NJ | 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 07601)
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