BLUE HERON PRIMARY CARE, PLLC
NPI 1356114300
Nurse Practitioner - Family in Pembroke, MA
About Blue Heron Primary Care, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUE HERON PRIMARY CARE, PLLC (NPI 1356114300) is a healthcare organization registered as a family in Pembroke, Massachusetts and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through March 21, 2028 and lists Michele A Masse, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 22D2301269
Blue Heron Primary Care · Pembroke, MAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Blue Heron Primary Care, PLLC's NPI number?
The NPI number for Blue Heron Primary Care, PLLC is 1356114300. It was assigned to this organization in the NPPES registry on November 1, 2023.
Where is Blue Heron Primary Care, PLLC located?
Blue Heron Primary Care, PLLC is located at 28 Riverside Dr Ste 150, Pembroke, MA 02359. The listed phone number is (857) 939-0187.
What is Blue Heron Primary Care, PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Blue Heron Primary Care, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 22D2301269) is associated with this NPI, valid through March 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Blue Heron Primary Care, PLLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Blue Heron Primary Care, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Blue Heron Primary Care, PLLC was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Blue Heron Primary Care, Pllc · NPI 1356114300
Family organization in Pembroke, Massachusetts. Organization record, active in the CMS NPPES registry since November 1, 2023.
## Identity
- **NPI:** 1356114300 (Entity type: Organization)
- **Enumerated:** November 1, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Michele Masse, OWNER
## Practice location
- **Address:** 28 RIVERSIDE DR STE 150, Pembroke, MA 02359-4904
- **Phone:** (857) 939-0187
## Record status
- **NPPES last updated:** September 20, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356114300) · Data from the CMS NPPES public registry.