NPIMap

Organization Active NPI

North Shore Pain Management, LLC

  • Interventional Pain Medicine Physician
  • Beverly, MA
National Provider Identifier
1164739306
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
223891 Issued in MA
Legal business name
NORTH SHORE PAIN MANAGEMENT, LLC
Practice address
77 Herrick St Ste 201
Beverly, MA 01915-2734
Phone
(978) 927-7246
Fax
(978) 927-7249
NPI assigned
Sep 9, 2010
Last updated
Mar 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Nancy Ann Hery
Title
Billing Manager
Phone
(978) 927-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 223891 MA Primary

Addresses

Primary practice location

77 Herrick St Ste 201
Beverly, MA 01915-2734

Mailing address

77 Herrick St Ste 201
Beverly, MA 01915-2734
Phone (978) 927-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110201000683 MA Part B Supplier - Clinic/Group Practice 3971782368 Receives reassigned benefits from 24 practitioners
Practice locations: Beverly, MA; Woburn, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2017756North Shore Pain Management, LLC77 Herrick Street, Suite 201, Beverly, MA 01915AccreditationAug 13, 2027

National Provider Directory

National Provider Directory

Locations

800 W Cummings Park
Ste 1200
Woburn, MA 01801
Phone (781) 330-0327

Interoperability endpoints

  • Direct secure messaging: bosman.mitchell.nspm@direct.partners.masshiway.net
  • Direct secure messaging: crown.benjamin.nspm@direct.partners.masshiway.net
  • Direct secure messaging: mayers.william.nspm@direct.partners.masshiway.net
  • Direct secure messaging: meadows.jacqueline.nspm@direct.partners.masshiway.net
  • Direct secure messaging: patel.minesh.nspm@direct.partners.masshiway.net
  • Direct secure messaging: powers.jamie.nspm@direct.partners.masshiway.net
  • Direct secure messaging: selby.ariana.nspm@direct.partners.masshiway.net
  • Direct secure messaging: shah.nirav.nspm@direct.partners.masshiway.net
  • Direct secure messaging: shvets.irina.nspm@direct.partners.masshiway.net

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1164739306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 HERRICK ST STE 201",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152734",
            "telephone_number": "978-927-7246",
            "fax_number": "978-927-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HERRICK ST STE 201",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152734",
            "telephone_number": "978-927-7246",
            "fax_number": "978-927-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "HERY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "978-927-7246"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MA",
            "license": "223891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.