Individual provider Active NPI

Nicole Hebert, PA-C

  • Physician Assistant
  • Middleboro, MA
National Provider Identifier
1700295300
Registry record updated Sep 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA5076 Issued in MA
Practice address
8 Commerce Blvd Ste 101
Middleboro, MA 02346-1030
Phone
(774) 260-9100
Fax
(774) 260-9100
NPI assigned
Aug 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 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 PA5076 MA Primary

Addresses

Primary practice location

8 Commerce Blvd Ste 101
Middleboro, MA 02346-1030

Mailing address

362 N Bedford St
East Bridgewater, MA 02333-1148
Phone (774) 260-9100

Other practice location 1

1 Compass Way
East Bridgewater, MA 02333-1465
Phone (508) 350-2300

Other names 1

  • Nicole Laliberte Former name

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
I20150107000148 MA Practitioner - Physician Assistant 0143543702 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrius Health IncGroup PAC ID 4789588641, 1,214 clinicians

Practice addresses (Care Compare)

100 2ND Ave
Needham, MA 02494-2809
Phone (781) 726-4800

133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000

36 Shops at 5 Way
Plymouth, MA 02360-2677
Phone (774) 608-3700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5076MAMDMental Health Counselor
PA5076MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Jan 27, 2022 Accepting new patients
Atrius Health, Inc. Physician Assistant CurrentSince Jun 14, 2023 Accepting new patients
Atrius Health, Inc. Physician Assistant CurrentSince Jun 14, 2023 Accepting new patients
Compass Medical PC CurrentSince Apr 4, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Jan 27, 2022 Accepting new patients
Beth Israel Lahey Health Primary Care, Inc. Past Accepting new patients

Locations

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

362 N Bedford St
East Bridgewtr, MA 02333
Phone (508) 350-2350

1 Donalds Way
Ste 102
East Bridgewtr, MA 02333
Phone (508) 350-2100

8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300

8 Commerce Blvd
Ste 101
Middleboro, MA 02346
Phone (774) 260-9100

54 Miller St
Ste 200
Quincy, MA 02169
Phone (617) 481-3200

Interoperability endpoints

  • Direct secure messaging: nhebertpac371272@direct.atrius.masshiway.net

Organizations & group practices 8

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 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": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727568000000",
    "number": "1700295300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 N BEDFORD ST",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331148",
            "telephone_number": "774-260-9100",
            "fax_number": "774-260-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 COMMERCE BLVD STE 101",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023461030",
            "telephone_number": "774-260-9100",
            "fax_number": "774-260-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Compass Way",
            "address_purpose": "LOCATION",
            "city": "East Bridgewater",
            "state": "MA",
            "postal_code": "023331465",
            "country_code": "US",
            "telephone_number": "508-350-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2024-09-29",
        "certification_date": "2024-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA5076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "LALIBERTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middleboro, MA

Sources for this page

Verify at the official NPI Registry.