Individual provider Active NPI

Elizabeth Anne Pemberton, FNP-C

  • Family Nurse Practitioner
  • New Bedford, MA
National Provider Identifier
1811761778
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10231040 Issued in MA
Practice address
93 Belleville Rd
New Bedford, MA 02745-5913
Phone
(860) 942-1851
NPI assigned
Nov 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CAPRN04260 RI
Family Nurse Practitioner 363LF0000X 357941 NY
Family Nurse Practitioner 363LF0000X F10231040 MA Primary

Addresses

Primary practice location

93 Belleville Rd
New Bedford, MA 02745-5913

Mailing address

93 Belleville Rd
New Bedford, MA 02745-5913
Phone (860) 942-1851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241217000838 RI Practitioner - Nurse Practitioner 2860929775 Reassigns benefits to 1 organization
I20260203003476 NY Practitioner - Nurse Practitioner 2860929775 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Mobile Medical Care PCGroup PAC ID 8426575325, 97 clinicians
Mobile Physician Services PLLCGroup PAC ID 8325360290, 104 clinicians
Blueprint Healthcare LLCGroup PAC ID 1153665062, 11 clinicians

Practice addresses (Care Compare)

Buffalo, NY 14202
Phone (716) 893-1010

10 Herkimer St
Buffalo, NY 14213-1825
Phone (716) 893-1010

4 Saint Joseph St
Woonsocket, RI 02895-5416
Phone (781) 480-1976

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F10231040MAMDFamily Nurse Practitioner
357941NYMDFamily Nurse Practitioner
CAPRN04260RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Mobile Medical Care PC CurrentSince Dec 16, 2025 Accepting new patients
Blueprint Healthcare LLC CurrentSince Oct 12, 2024 Accepting new patients
Mobile Physician Services PLLC CurrentSince Dec 16, 2025 Accepting new patients

Locations

451 Andover St
Ste 205
North Andover, MA 01845
Phone (978) 983-2434

10 Herkimer St
Buffalo, NY 14213

40 La Riviere Dr
Ste 201A
Buffalo, NY 14202
Phone 7168931010221

4650 Southwestern Blvd
Hamburg, NY 14075
Phone (716) 648-2450

180 Log Rd
Smithfield, RI 02917
Phone (401) 231-7016

4 Saint Joseph St
Woonsocket, RI 02895
Phone (401) 765-5844

Interoperability endpoints

  • Direct secure messaging: blueprinthealthcare.elizabethpemberton@159334.advancedmd-direct.com

Organizations & group practices 3

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": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1811761778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 BELLEVILLE RD",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027455913",
            "telephone_number": "860-942-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 BELLEVILLE RD",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027455913",
            "telephone_number": "860-942-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEMBERTON",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-10",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "CAPRN04260",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "357941",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "F10231040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.