Individual provider Active NPI

Michele Ann Masse, FNP

  • Primary Care Nurse Practitioner
  • Pembroke, MA
National Provider Identifier
1386426583
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN2354290 Issued in MA
Practice address
28 Riverside Dr Ste 150
Pembroke, MA 02359-4904
Phone
(857) 939-0187
Fax
(857) 939-0187
NPI assigned
Oct 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN2354290 MA Primary

Addresses

Primary practice location

28 Riverside Dr Ste 150
Pembroke, MA 02359-4904

Mailing address

23 Autumn LN
Marshfield, MA 02050-2599
Phone (617) 763-3974

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
I20240311003297 MA Practitioner - Nurse Practitioner 8921444159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Blue Heron Primary Care PLLCGroup PAC ID 7012353246, 2 clinicians

Practice addresses (Care Compare)

28 Riverside Dr
Suite 150
Pembroke, MA 02359-4947
Phone (508) 810-1980

Hospital & facility affiliations

  • Croi Health Home health agency, Norwell, MA, CCN 227241
  • Caretenders Home health agency, Needham Heights, MA, CCN 227269
  • South Shore Visiting Nurse Association Home health agency, Rockland, MA, CCN 227082
  • South Shore Hospital Hospital, South Weymouth, MA, CCN 220100
  • Beth Israel Deaconess Hospital Plymouth Hospital, Plymouth, MA, CCN 220060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Heron Primary Care, PLLC CurrentSince Dec 23, 2023 Accepting new patients

Locations

28 Riverside Dr
Ste 150
Pembroke, MA 02359
Phone (508) 810-1980

Interoperability endpoints

  • Direct secure messaging: michele.masse.1@31464.direct.athenahealth.com

Organizations & group practices 1

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 5

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": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1386426583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 AUTUMN LN",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020502599",
            "telephone_number": "617-763-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 RIVERSIDE DR STE 150",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023594904",
            "telephone_number": "857-939-0187",
            "fax_number": "857-939-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSE",
        "first_name": "MICHELE",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2354290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, MA

Sources for this page

Verify at the official NPI Registry.