Individual provider Active NPI

Victoria J Webber, MPAS, PA-C

  • Physician Assistant
  • Providence, RI
National Provider Identifier
1851066690
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01350 Issued in RI
Practice address
195 Collyer St Ste 201
Providence, RI 02904-1869
Phone
(401) 272-7799
NPI assigned
Aug 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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 PA01350 RI Primary

Addresses

Primary practice location

195 Collyer St Ste 201
Providence, RI 02904-1869

Mailing address

1399 Phillips Rd Apt 93
New Bedford, MA 02745-1944
Phone (774) 280-4019

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
I20230714000934 MA Practitioner - Physician Assistant 2961800420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greater Boston Urology LLCGroup PAC ID 1153516513, 44 clinicians

Practice addresses (Care Compare)

161 Worcester Rd
Framingham, MA 01701-5315

31 Roche Brothers Way
Suite 100
North Easton, MA 02356-1032
Phone (508) 238-0800

45 Home Depot Dr
Suite 100
Plymouth, MA 02360-2669
Phone (508) 732-6770

51 Obery St
Plymouth, MA 02360-2129
Phone (508) 732-6770

Hospital & facility affiliations

  • Beth Israel Deaconess Hospital Plymouth Hospital, Plymouth, MA, CCN 220060

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brockton Urology Clinic Inc Current Accepting new patients
Gbu Bidco LLC Current Accepting new patients
Boston Urology Institute LLC CurrentSince Jun 23, 2023 Accepting new patients

Locations

161 Worcester Rd
Ste 602
Framingham, MA 01701
Phone (603) 479-4082

31 Roche Brothers Way
Ste 100
North Easton, MA 02356
Phone (508) 238-0800

45 Home Depot Dr
#100
Plymouth, MA 02360
Phone (508) 732-6770

Interoperability endpoints

  • Direct secure messaging: victoriawebber@gbu.medalliesdirect.net

Organizations & group practices 4

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": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1851066690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 PHILLIPS RD APT 93",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027451944",
            "telephone_number": "774-280-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 COLLYER ST STE 201",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041869",
            "telephone_number": "401-272-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBBER",
        "first_name": "VICTORIA",
        "middle_name": "J",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.