JACQUELINE ANN BERUBE CNP
NPI 1952885816
Nurse Practitioner in Southbridge, MA

Q: What is Jacqueline Berube's NPI number?

The NPI number for Jacqueline Berube is 1952885816. It was assigned to this individual provider in the NPPES registry on September 17, 2018.

Q: What is Jacqueline Berube's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Berube was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 17, 2018PECOS Enrolled

97.02/100

CMS Quality Rating

100 SOUTH ST, SOUTHBRIDGE, MA 01550(508) 765-9771 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 8, 2023, Nov 6, 2020, Oct 16, 2018 and 1 more (4 updates tracked since 2018).

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About Jacqueline Ann Berube Cnp NPPES

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

JACQUELINE ANN BERUBE CNP (NPI 1952885816) is an individual nurse practitioner in Southbridge, Massachusetts, licensed in Massachusetts (RN211198) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952885816

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJACQUELINE ANN BERUBECredential: CNP

Location Address100 SOUTH STSouthbridge, MA 01550-4051

Mailing Address64 Allen RdSturbridge, MA 01566-1018

Phone(508) 765-9771

Sole ProprietorNo

Enumeration DateSeptember 17, 2018

Last NPPES UpdateAugust 8, 20234 updates tracked since enumeration

NPPES CertifiedAugust 8, 2023

✔ NPI 1952885816 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 · RN211198

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 NurseTaxonomy 163W00000X · License RN211198 (MA)

100 SOUTH ST, Southbridge, MA 01550

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Other Identifiers 1

Medicaid110146322AMA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Ann Berube Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01550 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.02/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

78.09

Promoting Interoperability

100

Improvement Activities

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.

EDWARD YE PA-C

Physician Assistant (Medical)

100 SOUTH ST
SOUTHBRIDGE, MA 01550

Worcester County (508) 765-9771

DR. KRISHNAVENI SIRIGADDI MD

Internal Medicine

100 SOUTH ST
SOUTHBRIDGE, MA 01550

Worcester County (508) 765-9771

DR. CARL JOHN VANDERPUTTEN DO

Emergency Medicine

100 SOUTH ST, HARRINGTON MEMORIAL HOSPITAL
SOUTHBRIDGE, MA 01550

Worcester County (508) 765-9771

DR. MARSHA KAY FEARING MD, MPH, MMSC.

Pediatrics

100 SOUTH ST, STE 102
SOUTHBRIDGE, MA 01550

Worcester County (508) 765-7860

MR. DOMINIC IDOKO MA

Counselor (Mental Health)

100 SOUTH ST
SOUTHBRIDGE, MA 01550

Worcester County (508) 765-9771

STEPHANIE RUIZ-GONZALEZ CRNA

Nurse Anesthetist, Certified Registered

100 SOUTH ST
SOUTHBRIDGE, MA 01550

Worcester County (508) 909-7799

MARY E FRISELLA MD

Internal Medicine (Cardiovascular Disease)

100 SOUTH ST
SOUTHBRIDGE, MA 01550

Worcester County (508) 764-6041

TAMMY JOHNSON

Counselor (Mental Health)

100 SOUTH ST
SOUTHBRIDGE, MA 01550

Worcester County (508) 765-9771

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 Jacqueline Berube's NPI number?

The NPI number for Jacqueline Berube is 1952885816. It was assigned to this individual provider in the NPPES registry on September 17, 2018.

Where is Jacqueline Berube located?

Jacqueline Berube practices at 100 South St, Southbridge, MA 01550. The listed phone number is (508) 765-9771.

What is Jacqueline Berube's specialty?

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

Is Jacqueline Berube enrolled in Medicare?

Yes. Jacqueline Berube is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Berube was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.