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HERARDINE LOUIS CNP
NPI 1417612896
Nurse Practitioner in Brighton, MA

Active since November 01, 2021PECOS EnrolledAccepts Medicare Assignment
736 CAMBRIDGE ST, SEMC - CARDIAC SURGERY -, BRIGHTON, MA 02135(617) 789-2045 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2025, Nov 1, 2021 (2 updates tracked since 2021).

About Herardine Louis Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERARDINE LOUIS CNP (NPI 1417612896) is an individual nurse practitioner in Brighton, Massachusetts, licensed in Massachusetts (RN2277045) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth's Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1417612896
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHERARDINE LOUISCredential: CNP
Location Address736 CAMBRIDGE ST, SEMC - CARDIAC SURGERY -Brighton, MA 02135-2907
Mailing Address240 Heath St Apt 304Jamaica Plain, MA 02130-1142 · (857) 445-3839
Phone(617) 789-2045
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 1, 2021
Last NPPES UpdateMarch 17, 20252 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1417612896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · RN2277045
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN2277045 (MA)
736 CAMBRIDGE ST, Brighton, MA 02135
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Herardine Louis Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547606444
PECOS Enrollment IDI20240314000794
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
53 services19 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
26 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Elizabeth's Medical Center

Acute Care Hospitals · Brighton, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220036
Location736 Cambridge StreetBrighton, MA 02135 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02135 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOOWHAN LAH M.D.
Internal Medicine
736 CAMBRIDGE ST, INTERNAL MEDICINE RESIDENCY PROGRAM - MAILBOX #13
BOSTON, MA 02135
Suffolk County (503) 886-9722
DR. MAHENDRA CARPEN MD
Internal Medicine (Cardiovascular Disease)
736 CAMBRIDGE ST, DEPT. OF CARDIOLOGY
BRIGHTON, MA 02135
Suffolk County (617) 789-5151
MONIKA BATRA
Psychiatry & Neurology (Psychiatry)
736 CAMBRIDGE ST
BRIGHTON, MA 02135
Suffolk County (617) 789-3000
RONYA OZTURK
Student in an Organized Health Care Education/Training Program
736 CAMBRIDGE ST
BOSTON, MA 02135
Suffolk County (617) 789-3000
ALEXANDER H HU MD
Student in an Organized Health Care Education/Training Program
736 CAMBRIDGE ST
BRIGHTON, MA 02135
Suffolk County (617) 789-3000
DR. ANAS AHMED SAMBAWAH M.D
Student in an Organized Health Care Education/Training Program
736 CAMBRIDGE ST
BRIGHTON, MA 02135
Suffolk County (617) 789-2990
ORFEAS LIANGOS M.D.
Internal Medicine (Nephrology)
736 CAMBRIDGE ST, ST ELIZABETHS MED CTR
BOSTON, MA 02135
Suffolk County (617) 789-3100
LORI H ADCOCK M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
736 CAMBRIDGE ST
BRIGHTON, MA 02135
Suffolk County (617) 789-2740

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 Herardine Louis's NPI number?

The NPI number for Herardine Louis is 1417612896. It was assigned to this individual provider in the NPPES registry on November 1, 2021.

Where is Herardine Louis located?

Herardine Louis practices at 736 Cambridge St Semc - Cardiac Surgery -, Brighton, MA 02135. The listed phone number is (617) 789-2045.

What is Herardine Louis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Herardine Louis enrolled in Medicare?

Yes. Herardine Louis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Herardine Louis accept?

Health plans from Anthem Blue Cross and Blue Shield list Herardine Louis 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.

Is Herardine Louis affiliated with any hospitals?

According to CMS data, Herardine Louis is affiliated with St Elizabeth's Medical Center.

When was this NPI record last updated?

The NPPES record for Herardine Louis was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.