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SOMAFORM HEALTH PLLC
NPI 1467315457
Nurse Practitioner - Primary Care in Tewksbury, MA

Active since December 05, 2025CLIA 22D2346788 · Waiver
1764 MAIN ST, TEWKSBURY, MA 01876(978) 678-5038(728) 729-9841 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 13, 2026, Dec 5, 2025 (2 updates tracked since 2025).

About Somaform Health Pllc NPPES

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

SOMAFORM HEALTH PLLC (NPI 1467315457) is a healthcare organization registered as a primary care in Tewksbury, Massachusetts and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through July 6, 2028 and lists Soimise Verdieu, Founder & Ceo, as its authorized official.

NPPES Registry Identity

NPI1467315457
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameSOMAFORM HEALTH PLLC
Location Address1764 MAIN STTewksbury, MA 01876-2004
Mailing Address1764 Main StTewksbury, MA 01876-2004 · (978) 678-5038 · Fax (728) 729-9841
Phone(978) 678-5038
Fax(728) 729-9841
Organization SubpartNo
Authorized OfficialSoimise VerdieuFounder & Ceo · (978) 678-5038
Enumeration DateDecember 5, 2025
Last NPPES UpdateMay 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1467315457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
1764 MAIN ST, Tewksbury, MA 01876
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Somaform Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Somaform Health PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Soimise Verdieu, APRN
Nurse Practitioner
NPI 1134345960
1493 CAMBRIDGE ST PRIMARY CARE CENTER
Cambridge, MA 02139
(617) 665-1068
✔ PECOS✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 22D2346788

Somaform Health PLLC · Tewksbury, MA
Active · expires Jul 6, 2028
CLIA Number22D2346788
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2026
Certificate Expiration DateJuly 6, 2028
Laboratory DirectorDr. Soimise Verdieu
Laboratory Phone(978) 678-5038
Laboratory LocationSomaform Health PLLC1764 Main Street, Tewksbury, MA 01876
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Somaform Health PLLC's NPI number?

The NPI number for Somaform Health PLLC is 1467315457. It was assigned to this organization in the NPPES registry on December 5, 2025.

Where is Somaform Health PLLC located?

Somaform Health PLLC is located at 1764 Main St, Tewksbury, MA 01876. The listed phone number is (978) 678-5038.

What is Somaform Health PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Somaform Health PLLC enrolled in Medicare?

Yes. Somaform Health PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Somaform Health PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Somaform Health 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Somaform Health PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2346788) is associated with this NPI, valid through July 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Somaform Health PLLC was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.