Individual provider Active NPI

Annalise J Boisvert, M.D.

  • Obstetrics & Gynecology Physician
  • Dartmouth, MA
National Provider Identifier
1689962623
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
269992 Issued in MA
Practice address
531 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone
(508) 996-3991
NPI assigned
Jul 12, 2011
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 269992 MA Primary
Obstetrics & Gynecology Physician 207V00000X 4301099170 MI

Addresses

Primary practice location

531 Faunce Corner Rd
Dartmouth, MA 02747-1242

Mailing address

531 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone (508) 996-3991

Other practice location 1

330 Barclay Ave NE
Suite 304
Grand Rapids, MI 49503-2556
Phone (616) 391-1929

Other practice location 2

680 Centre St
Brockton, MA 02302-3308
Phone (508) 894-8740

Other names 1

  • Dr. Judson Allen Boisvert Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180508001218 MA Practitioner - Obstetrics/Gynecology 4082845391 Reassigns benefits to 4 organizations
I20250813003894 MI Practitioner - Obstetrics/Gynecology 4082845391 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mpower Primary Care PLCGroup PAC ID 4486152808, 3 clinicians
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

4028 State St
Suite a
Saginaw, MI 48603-4070
Phone (989) 341-6006

531 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone (508) 996-3991

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
269992MAMDObstetrics & Gynecology Physician
4301099170MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group of Massachusetts Inc Obstetrics & Gynecology CurrentSince Jan 1, 2025 Accepting new patients
Mpower Primary Care PLC CurrentSince Jun 10, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Feb 3, 2020 Accepting new patients
Obhg Massachusetts - Direct, P.C. CurrentSince Mar 3, 2022 Accepting new patients
Lifespan Corporation Current Accepting new patients
Steward Medical Group, Inc CurrentSince Feb 3, 2020 Accepting new patients
Southcoast Hospitals Group, Inc Past Accepting new patients
Grand Rapids Medical Education and Research Center Past Accepting new patients

Locations

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

851 Middle St
Ste 2100
Fall River, MA 02721
Phone (508) 235-5445

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

60 Brigham St
New Bedford, MA 02740
Phone (508) 999-6245

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

4028 State St
Ste A
Saginaw, MI 48603
Phone (989) 341-6006

Interoperability endpoints

  • Direct secure messaging: aboisvert235774@brownhealth.medalliesdirect.net
  • Direct secure messaging: aboisvert482379@direct.bilh.masshiway.net
  • Direct secure messaging: annalise.boisvert.1@2017.direct.athenahealth.com
  • Direct secure messaging: annalise.boisvert.1@32706.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1689962623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 FAUNCE CORNER RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027471242",
            "telephone_number": "508-996-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 FAUNCE CORNER RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027471242",
            "telephone_number": "508-996-3991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Barclay Ave NE",
            "address_2": "Suite 304",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495032556",
            "country_code": "US",
            "telephone_number": "616-391-1929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 Centre St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023023308",
            "country_code": "US",
            "telephone_number": "508-894-8740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOISVERT",
        "first_name": "ANNALISE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "269992",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301099170",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDSON",
            "last_name": "BOISVERT",
            "middle_name": "ALLEN",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.