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Individual provider Active NPI Family Nurse Practitioner · Plainville, MA

NPI 1376433490 · NPPES record last updated Jul 9, 2025

Key facts

NPI
1376433490
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
RN2319538 (MA)
Practice address
86 Taunton St
Plainville, MA 02762-2131
Phone
(508) 928-5211
NPI assigned
Jul 9, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southcoast Physicians Group Inc (875 clinicians)
Convenientmd - FFS UC LLC (397 clinicians)

Practice addresses (Care Compare)

543 N St
New Bedford, MA 02740-2782
Phone (508) 973-2008

86 Taunton St
Plainville, MA 02762-2131
Phone (508) 928-5211

Hospital & facility affiliations

  • Southcoast Hospitals Group Hospital · Fall River, MA · CCN 220074

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250731001157 MA Practitioner - Nurse Practitioner 4789192915 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
RN2319538MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. Current
since Feb 1, 2026
Accepting new patients
Convenientmd - FFS UC LLC Current Accepting new patients
Convenientmd - FFS UC LLC Current
since Aug 5, 2025
Accepting new patients
Southcoast Physicians Group, Inc. Current
since Feb 1, 2026
Accepting new patients
Convenientmd - FFS UC LLC Current
since Aug 5, 2025
Accepting new patients

Locations

245 Hartford Ave
Bellingham, MA 02019
Phone (774) 295-4355

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

40 Davis Straits
Falmouth, MA 02540
Phone (774) 255-3010

543 North St
New Bedford, MA 02740
Phone (508) 973-2208

35 Storey Ave
Newburyport, MA 01950
Phone (978) 225-6607

86 Taunton St
Plainville, MA 02762
Phone (508) 928-5211

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2319538 MA Yes

Addresses

Primary practice location

86 Taunton St
Plainville, MA 02762-2131

Mailing address

11 Mulberry Cir
Johnston, RI 02919-2520
Phone (781) 858-1159

Other providers in Plainville, MA

All providers in Plainville, MA · Family Nurse Practitioner in Massachusetts

Sources for this page

Verify at the official NPI Registry.