JACQUELINE ANN BERUBE CNP
NPI 1952885816
Nurse Practitioner in Southbridge, MA
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
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacqueline Ann Berube Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jacqueline Berube reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oxford, MA 01540
- Reassigned Medicare billing, Massachusetts enrollment
- 2,902 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
SOUTHBRIDGE, MA 01550
SOUTHBRIDGE, MA 01550
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.
Which organization bills Medicare for Jacqueline Berube's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Berube reassigns Medicare benefits to Umass Memorial Medical Group, Inc. (Oxford, MA). The 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 Jacqueline Berube's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Jacqueline Ann Berube, CNP · NPI 1952885816
Nurse Practitioner physician in Southbridge, Massachusetts. Individual provider, active in the CMS NPPES registry since September 17, 2018.
## Identity
- **NPI:** 1952885816 (Entity type: Individual)
- **Enumerated:** September 17, 2018
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN211198 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 SOUTH ST, Southbridge, MA 01550-4051
- **Phone:** (508) 765-9771
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Umass Memorial Medical Group, Inc. (NPI 1982381018, Oxford, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 8, 2023
- **Other identifiers:** Medicaid 110146322A (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1952885816) · Data from the CMS NPPES public registry.