Individual provider Active NPI

Monique Danielle Lariviere, AGACNP

  • Nurse Practitioner
  • Hyannis, MA
National Provider Identifier
1407447378
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN10004785 Issued in MA
Practice address
65 Cedar St
Hyannis, MA 02601-3009
Phone
(508) 790-0611
NPI assigned
Feb 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN10004785 MA Primary
Acute Care Nurse Practitioner 363LA2100X R219303 MD

Addresses

Primary practice location

65 Cedar St
Hyannis, MA 02601-3009

Mailing address

621 Main St
West Barnstable, MA 02668-1128
Phone (508) 364-7734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210422000412 MD Practitioner - Nurse Practitioner 9739597220 Reassigns benefits to 2 organizations
I20250829003933 MA Practitioner - Nurse Practitioner 9739597220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5 Industrial Dr
Mashpee, MA 02649-3464
Phone (774) 552-3210

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN10004785MAMDNurse Practitioner
R219303MDMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC CurrentSince Apr 26, 2021 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Aug 18, 2025 Accepting new patients
Greater Baltimore Medical Center, Inc. Nurse Practitioner CurrentSince Aug 7, 2023 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 26, 2021 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Aug 18, 2025 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Aug 7, 2023 Accepting new patients
Greater Baltimore Medical Center, Inc Current Accepting new patients

Locations

65 Cedar St
Hyannis, MA 02601
Phone (508) 790-0611

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

5 Industrial Dr
Ste 107
Mashpee, MA 02649
Phone (508) 539-6127

5 Industrial Dr
Mashpee, MA 02649
Phone (508) 477-4282

2003 Medical Pkwy
Ste 310
Annapolis, MD 21401
Phone (410) 573-9437

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

6535 N Charles St
Ste 125
Towson, MD 21204
Phone (443) 849-3779

Interoperability endpoints

  • Direct secure messaging: mlariviere65275@gbmcdirect.org

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 2

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": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1407447378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 MAIN ST",
            "city": "WEST BARNSTABLE",
            "state": "MA",
            "postal_code": "026681128",
            "telephone_number": "508-364-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 CEDAR ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013009",
            "telephone_number": "508-790-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARIVIERE",
        "first_name": "MONIQUE",
        "middle_name": "DANIELLE",
        "name_prefix": "Miss",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "APRN10004785",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R219303",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.