Individual provider Active NPI

Rebecca Lynn Hebert, CNM

  • Advanced Practice Midwife
  • Wareham, MA
National Provider Identifier
1407345978
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
2277079 Issued in MA
Practice address
106 Main St
Wareham, MA 02571-2122
Phone
(508) 295-5197
Fax
(508) 291-6375
NPI assigned
May 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 367A00000X 2277079 MA Primary

Addresses

Primary practice location

106 Main St
Wareham, MA 02571-2122

Mailing address

106 Main St
Wareham, MA 02571-2122
Phone (508) 295-5197

Other practice location 1

543 North St
New Bedford, MA 02740-2782
Phone (508) 973-2208

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rbutler16192@direct.southcoast.org

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200318002029 MA Practitioner - Certified Nurse Midwife (CNM) 7012345424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians

Practice addresses (Care Compare)

101 Page St
New Bedford, MA 02740-3464
Phone (508) 973-5919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
2277079MAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. Multi-Specialty CurrentSince Feb 1, 2020 Accepting new patients
Southcoast Physicians Group, Inc. Multi-Specialty CurrentSince Feb 1, 2020 Accepting new patients
Southcoast Hospitals Group, Inc Multi-Specialty Past Accepting new patients

Locations

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

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

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

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

106 Main St
Wareham, MA 02571
Phone (508) 295-3900

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": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1407345978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MAIN ST",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025712122",
            "telephone_number": "508-295-5197",
            "fax_number": "508-291-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MAIN ST",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025712122",
            "telephone_number": "508-295-5197",
            "fax_number": "508-291-6375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "543 North St",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027402782",
            "country_code": "US",
            "telephone_number": "508-973-2208",
            "fax_number": "508-973-1225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "2277079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbutler16192@direct.southcoast.org",
            "affiliation": "N",
            "endpointDescription": "Southcoast Health Epic Direct Address",
            "address_1": "543 North St",
            "city": "New Bedford",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027402782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wareham, MA

Sources for this page

Verify at the official NPI Registry.