NPIMap

Individual provider Active NPI

Mark Hebert

  • Nurse Practitioner
  • Boston, MA
National Provider Identifier
1831740331
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN10045268 Issued in MA
Practice address
330 Brookline Ave
Boston, MA 02215-5400
Phone
(617) 667-2100
NPI assigned
Sep 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11719 WI
Registered Nurse 163W00000X 4704273394 MI
Nurse Practitioner 363L00000X RN10045268 MA Primary

Addresses

Primary practice location

330 Brookline Ave
Boston, MA 02215-5400

Mailing address

330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 667-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI, IN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200214002095 MI Practitioner - Nurse Practitioner 7012343890 Reassigns benefits to 4 organizations
I20220330001722 WI Practitioner - Nurse Practitioner 7012343890 Reassigns benefits to 1 organization
I20250626001847 IN Practitioner - Nurse Practitioner 7012343890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians

Practice addresses (Care Compare)

1215 Lawn Ave
Elkhart, IN 46514-2450

615 N Michigan St
South Bend, IN 46601-1033

615 N Michigan St FL
South Bend, IN 46601-1033

621 Memorial Dr
South Bend, IN 46601-1063

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Schoolcraft Memorial Hospital CurrentSince Feb 21, 2020 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Mar 1, 2022 Accepting new patients
Schoolcraft Memorial Hospital Current Accepting new patients
Beacon Medical Group Inc CurrentSince Jul 1, 2025 Accepting new patients
St Francis Hospital CurrentSince Sep 9, 2022 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis Nurse Practitioner CurrentSince Mar 1, 2022 Accepting new patients
St Mary'S Hospital Medical Center of Green Bay Inc.-Hospital Sisters CurrentSince Mar 1, 2022 Accepting new patients
Beacon Medical Group, Inc. Current Accepting new patients
St. Francis Hospital Nurse Practitioner CurrentSince Sep 9, 2022 Accepting new patients
St. Francis Hospital Current Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Oct 30, 2023 Accepting new patients
Ascension NE Wisconsin, Inc Current Accepting new patients
Osf Multi-Specialty Group CurrentSince May 20, 2024 Accepting new patients
Beacon Medical Group, Inc. CurrentSince Jul 1, 2025 Accepting new patients

Locations

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

615 N Michigan St
Fl 1
South Bend, IN 46601
Phone (574) 647-1100

2525 5th Ave S
Escanaba, MI 49829
Phone (906) 233-4276

3409 Ludington St
Ste 104
Escanaba, MI 49829
Phone (906) 786-8343

7870W US Highway 2
Manistique, MI 49854
Phone (906) 341-2153

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

Interoperability endpoints

  • Direct secure messaging: mhebert347602@ewd.direct.hshs.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 9

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": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1831740331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-667-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-667-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-25",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "11719",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704273394",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN10045268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.