Individual provider Active NPI

Rachel Herwerth

  • Physician Assistant
  • Beverly, MA
National Provider Identifier
1164311437
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
138 Conant St
Beverly, MA 01915-1672
Phone
(978) 691-5690
NPI assigned
Jul 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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 Primary

Addresses

Primary practice location

138 Conant St
Beverly, MA 01915-1672

Mailing address

1678 Asylum Ave
West Hartford, CT 06117-2764

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
I20250826004825 MA Practitioner - Physician Assistant 3072013622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Dermatology Associates PCGroup PAC ID 3072403799, 84 clinicians

Practice addresses (Care Compare)

538 Turnpike St
North Andover, MA 01845-5812
Phone (978) 691-5690

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Dermatology Associates, PC CurrentSince Jul 28, 2025 Accepting new patients
Neda at North Shore PC CurrentSince Jul 28, 2025 Accepting new patients
Nedan LLC Past Accepting new patients

Locations

138 Conant St
Beverly, MA 01915
Phone (978) 927-5254

138 Conant St
Ste 1
Beverly, MA 01915

538 Turnpike St
North Andover, MA 01845
Phone (978) 683-9201

302 Innovation Dr
Ste 400
Franklin, TN 37067

Organizations & group practices 3

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": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1164311437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1678 ASYLUM AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 CONANT ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151672",
            "telephone_number": "978-691-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERWERTH",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.