Individual provider Active NPI

Melanie Boisvert, PA-C

  • Medical Physician Assistant
  • Northbridge, MA
National Provider Identifier
1255220877
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA101867 Issued in MA
Practice address
100 Commerce Dr
Northbridge, MA 01534-1415
Phone
(508) 372-3510
NPI assigned
Jun 30, 2025
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA101867 MA
Medical Physician Assistant 363AM0700X PA101867 MA Primary

Addresses

Primary practice location

100 Commerce Dr
Northbridge, MA 01534-1415

Mailing address

9 Industrial Rd Ste 5
Milford, MA 01757-3736

Other practice location 1

68A Main St Ste 103
Medway, MA 02053-1775
Phone (508) 321-2845

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
I20250812003166 MA Practitioner - Physician Assistant 6305344938 Reassigns benefits to 2 organizations

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
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

1 Lumber St
Hopkinton, MA 01748-2363
Phone (508) 435-5936

100 Medway Rd
Milford, MA 01757-2923

68 A Main St
Medway, MA 02053-1775
Phone (508) 533-6020

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA101867MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Milford Regional Physician Group, Inc. CurrentSince Sep 22, 2025 Accepting new patients
Milford Regional Physician Group, Inc. CurrentSince Sep 22, 2025 Accepting new patients
Umass Memorial Medical Group Inc Physician Assistant CurrentSince Oct 1, 2025 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Oct 1, 2025 Accepting new patients

Locations

1280 W Central St
Ste 101
Franklin, MA 02038
Phone (508) 471-1480

1 Lumber St
Hopkinton, MA 01748
Phone (508) 435-5936

68A Main St
Medway, MA 02053
Phone (508) 321-2850

68A Main St
Ste 101
Medway, MA 02053
Phone (508) 533-6020

68A Main St
Ste 103
Medway, MA 02053
Phone (508) 321-2845

100 Medway Rd
Ste 401
Milford, MA 01757
Phone (508) 634-7338

129 S Main St
Milford, MA 01757
Phone (774) 462-3339

9 Industrial Rd
Ste 5
Milford, MA 01757
Phone (508) 473-1480

100 Commerce Dr
Northbridge, MA 01534
Phone (508) 234-6311

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1255220877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 INDUSTRIAL RD STE 5",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017573736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COMMERCE DR",
            "city": "NORTHBRIDGE",
            "state": "MA",
            "postal_code": "015341415",
            "telephone_number": "508-372-3510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68A Main St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Medway",
            "state": "MA",
            "postal_code": "020531775",
            "country_code": "US",
            "telephone_number": "508-321-2845",
            "fax_number": "508-321-2848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOISVERT",
        "first_name": "MELANIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA101867",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA101867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbridge, MA

Sources for this page

Verify at the official NPI Registry.