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 lists Michele A Masse, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blue Heron Primary Care, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Blue Heron Primary Care, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Blue Heron Primary Care, PLLC enrolled in Medicare?
Yes. Blue Heron Primary Care, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blue Heron Primary Care, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Blue Heron Primary Care, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1356114300) · Data from the CMS NPPES public registry.