Individual provider Active NPI

Kristin Hebert, PA

  • Physician Assistant
  • Lebanon, NH
National Provider Identifier
1780789925
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0861 Issued in NH
Practice address
1 Medical Center Dr
DHMC - Dept of Cardiology
Lebanon, NH 03756-1000
Phone
(603) 650-7756
Fax
(603) 650-0640
NPI assigned
Sep 13, 2006
Last updated
Jan 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X A10622RX LA
Physician Assistant 363A00000X 0861 NH Primary

Addresses

Primary practice location

1 Medical Center Dr
DHMC - Dept of Cardiology
Lebanon, NH 03756-1000

Mailing address

1 Medical Center Dr
DHMC - Dept of Cardiology
Lebanon, NH 03756-1000
Phone (603) 650-7756

Other identifiers 1

IdentifierTypeStateIssuer
1723908MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20120312000392 NH Practitioner - Physician Assistant 2163475377 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appledore Medical Group IncGroup PAC ID 5698666154, 197 clinicians

Practice addresses (Care Compare)

100 McGregor St
Manchester, NH 03102-3730
Phone (603) 665-5150

330 Borthwick Ave
Suite 308
Portsmouth, NH 03801-7112
Phone (603) 431-5242

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A10622RXLAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dartmouth-Hitchcock Clinic CurrentSince Jan 3, 2012 Accepting new patients
Catholic Medical Center CurrentSince Nov 7, 2016 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Jan 3, 2012 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jan 3, 2012 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jan 3, 2012 Accepting new patients
Appledore Medical Group, Inc CurrentSince Feb 1, 2025 Accepting new patients
Ochsner Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Ochsner Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Ochsner Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Ochsner Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Ochsner Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Ochsner Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Ochsner Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Ochsner Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Ochsner Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Ochsner Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Ochsner Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Ochsner Clinic, LLC PastSince Jan 1, 1990 Accepting new patients
Ochsner Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Ochsner Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Ochsner Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Ochsner Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Ochsner Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Ochsner Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Ochsner Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Ochsner Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Ochsner Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Ochsner Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Ochsner Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Ochsner Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Ochsner Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Ochsner Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Ochsner Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Ochsner Clinic LLC PastSince Jan 1, 1990 Accepting new patients
Ochsner Clinic LLC PastSince Jan 1, 1990 Accepting new patients

Locations

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

100 McGregor St
Ste B600A
Manchester, NH 03102
Phone (603) 626-2340

330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242

330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: kristin.hebert@hca6.eclinicaldirectplus.com

Organizations & group practices 36

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 36

Hospital & facility affiliations 6

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1780789925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "DHMC - DEPT OF CARDIOLOGY",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-650-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "DHMC - DEPT OF CARDIOLOGY",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-650-7756",
            "fax_number": "603-650-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "KRISTIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "A10622RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1723908",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.