MR. ANDREW CHAPMAN SACKETT-TAYLOR (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1780121780
Psychiatric/Mental Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. ANDREW CHAPMAN SACKETT-TAYLOR (APRN)
186, Providence Street, River Point, West Warwick, Kent County, Rhode Island, 02893, United States
WEST WARWICK, RI 028932508
Phone: (401) 615-2800
Fax: (401) 615-2805
Type: Mailing
10 MAIN ST SUITE 3
FLORENCE, MA 01062
Phone: (413) 341-9400
Fax: (413) 341-9421
Type: Mailing
10 MAIN ST STE 3
FLORENCE, MA 010623158
Phone: (617) 285-9258
Type: Location
95 COTTAGE GROVE AVE
BROCKTON, MA 023016348
Phone: (413) 923-6974
Fax: (413) 300-5861
Type: Mailing
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: 2021-04-14
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 |
|---|---|---|---|---|
| I20210414002530 | 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 02893)
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