Individual provider Active NPI

Jennifer Halterman Hilgenberg, PA-C

  • Physician Assistant
  • Westborough, MA
National Provider Identifier
1093846578
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00390 Issued in RI
Practice address
1400 Computer Dr Ste 301
Westborough, MA 01581-1790
Phone
(617) 420-5316
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00390 RI Primary

Addresses

Primary practice location

1400 Computer Dr Ste 301
Westborough, MA 01581-1790

Mailing address

1400 Computer Dr Ste 301
Westborough, MA 01581-1790
Phone (617) 420-5316

Other practice location 1

10 Dorrance St Ste 700
Providence, RI 02903-2014
Phone (833) 229-0957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190111002582 MA Practitioner - Physician Assistant 7416172465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mikhail Novikov MD, PCGroup PAC ID 4981917952, 5 clinicians

Practice addresses (Care Compare)

318 Main St
Suite 165
Northborough, MA 01532-3609
Phone (508) 936-1657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mikhail Novikov MD PC CurrentSince Oct 30, 2025 Accepting new patients
Mikhail Novikov MD Past Accepting new patients

Locations

318 Main St
Ste 165
Northborough, MA 01532
Phone (508) 936-1657

211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200

Interoperability endpoints

  • Direct secure messaging: jhilgenberg@landmarkhealth-direct.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1093846578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 COMPUTER DR STE 301",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811790",
            "telephone_number": "617-420-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 COMPUTER DR STE 301",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811790",
            "telephone_number": "617-420-5316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Dorrance St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029032014",
            "country_code": "US",
            "telephone_number": "833-229-0957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILGENBERG",
        "first_name": "JENNIFER",
        "middle_name": "HALTERMAN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

Verify at the official NPI Registry.