Organization Active NPI

North Beverly Family Medicine PLLC

  • Family Medicine Physician
  • Beverly, MA
National Provider Identifier
1609731611
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTH BEVERLY FAMILY MEDICINE PLLC
Practice address
48 Dunham Rd Ste 2500
Beverly, MA 01915-1844
Phone
(207) 671-0638
NPI assigned
Dec 22, 2025
Last updated
Dec 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Authorized official

Name
Dr. Lisa Macvane, MDNPI 1215514286
Title
Physician/Owner
Phone
(207) 671-0638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

48 Dunham Rd Ste 2500
Beverly, MA 01915-1844

Mailing address

11 Evergreen Rd
Raymond, ME 04071-5534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260422001833 MA Part B Supplier - Clinic/Group Practice 0345717807 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2341187North Beverly Family Medicine PLLC48 Dunham Road, Suite 2500, Beverly, MA 01915Certificate of waiverMar 29, 2028

National Provider Directory

National Provider Directory

Locations

48 Dunham Rd
Ste 2500
Beverly, MA 01915
Phone (207) 671-0638

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1766361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1609731611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EVERGREEN RD",
            "city": "RAYMOND",
            "state": "ME",
            "postal_code": "040715534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 DUNHAM RD STE 2500",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151844",
            "telephone_number": "207-671-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BEVERLY FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-22",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A",
        "authorized_official_last_name": "MACVANE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "207-671-0638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.