Individual provider Active NPI

Hannah Nicole Dygert, PAC

  • Physician Assistant
  • Plymouth, MA
National Provider Identifier
1629825864
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA100672 Issued in MA
Practice address
140 Samoset St Ste 2
Plymouth, MA 02360-4802
Phone
(508) 209-5362
Fax
(508) 209-5363
NPI assigned
May 6, 2024
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA100672 MA Primary

Addresses

Primary practice location

140 Samoset St Ste 2
Plymouth, MA 02360-4802

Mailing address

360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105
Phone (603) 410-6700

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
I20240712003160 MA Practitioner - Physician Assistant 5193260297 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Convenientmd - FFS UC LLCGroup PAC ID 5193186492, 397 clinicians

Practice addresses (Care Compare)

1 Hutchinson Dr
Danvers, MA 01923-3748
Phone (978) 739-6950

1285 Belmont St
Suite 1
Brockton, MA 02301-4440
Phone (508) 894-7015

137 Stuart St
Suite a 7
Boston, MA 02116-5609
Phone (888) 980-0505

140 Samoset St
Suite 2
Plymouth, MA 02360-4802
Phone (508) 209-5362

15 Corporate Park Dr
Pembroke, MA 02359-1966
Phone (857) 307-4300

180 Main St
Saugus, MA 01906-4502
Phone (339) 674-0978

245 Hartford Ave
Bellingham, MA 02019-3007
Phone (774) 295-4355

40 Davis Straits
Falmouth, MA 02540-3906
Phone (774) 255-3010

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Convenientmd - FFS UC LLC CurrentSince Jul 1, 2024 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Jul 1, 2024 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Jan 28, 2026 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Nov 14, 2025 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Nov 14, 2025 Accepting new patients

Locations

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

137 Stuart St
Ste A7
Boston, MA 02116
Phone (617) 393-5059

1285 Beacon St
Brookline, MA 02446
Phone (617) 751-6205

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

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

140 Samoset St
#2
Plymouth, MA 02360
Phone (508) 209-5362

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

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1629825864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 US HIGHWAY 1 BYP UNIT 102",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017105",
            "telephone_number": "603-410-6700",
            "fax_number": "603-319-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SAMOSET ST STE 2",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604802",
            "telephone_number": "508-209-5362",
            "fax_number": "508-209-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYGERT",
        "first_name": "HANNAH",
        "middle_name": "NICOLE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA100672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.