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LOIC RICKEL ASSOBMO CNP
NPI 1972030922
Nurse Practitioner in Longmeadow, MA

Active since May 20, 2017PECOS EnrolledAccepts Medicare Assignment
21 DWIGHT RD, LONGMEADOW, MA 01106(413) 795-4555(413) 794-9448 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 3, 2025, Jun 2, 2021, Dec 14, 2017 and 1 more (4 updates tracked since 2017).

About Loic Rickel Assobmo Cnp NPPES

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

LOIC RICKEL ASSOBMO CNP (NPI 1972030922) is an individual nurse practitioner in Longmeadow, Massachusetts, licensed in Massachusetts (2310024) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Baystate Wing Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972030922
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameLOIC RICKEL ASSOBMOCredential: CNP
Location Address21 DWIGHT RDLongmeadow, MA 01106-1765
Mailing Address235 Chestnut St # 12Springfield, MA 01103-1100 · (413) 438-5737 · Fax (413) 451-1211
Phone(413) 795-4555
Fax(413) 794-9448
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 20, 2017
Last NPPES UpdateApril 17, 20254 updates tracked since enumeration
NPPES CertifiedApril 16, 2025
✔ NPI 1972030922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · 2310024
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.
21 DWIGHT RD, Longmeadow, MA 01106
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1235 Chestnut St # 12Springfield, MA 01103-1100 · Phone (413) 438-5737 · Fax (413) 451-1211
Location 22150 Main StreetSpringfield, MA 01104 · Phone (413) 739-5676 · Fax (413) 733-5860

Other Identifiers 1

Medicaid110126197AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Loic Rickel Assobmo 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 ID2163795337
PECOS Enrollment IDI20170911000681
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Loic Assobmo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Riverbend Medical Group, Inc.
4.8 mi
Internal Medicine
271 CAREW ST
Springfield, MA 01104
  • Reassigned Medicare billing, Massachusetts enrollment
  • 298 clinicians in this Medicare group
NPI 1841651197 (413) 781-7217
Baystate Medical Practices, Inc
5.5 mi
Emergency Medical Services
759 CHESTNUT ST
Springfield, MA 01199
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,537 clinicians in this Medicare group
NPI 1548205909 (413) 794-5700

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

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
178 services110 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
50 services50 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services12 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
13 services13 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Baystate Wing Hospital

Acute Care Hospitals · Palmer, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220030
Location40 Wright StreetPalmer, MA 01069 · Hampden County
Emergency services

Baystate Noble Hospital

Acute Care Hospitals · Westfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220065
Location115 West Silver StreetWestfield, MA 01085 · Hampden County
Emergency services

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01106 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.

Other Providers at the Same Location NPPES

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

ZELMON MARIE JOHNSON
Social Worker (Clinical)
21 DWIGHT RD
LONGMEADOW, MA 01106
Hampden County (413) 795-4762

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 Loic Assobmo's NPI number?

The NPI number for Loic Assobmo is 1972030922. It was assigned to this individual provider in the NPPES registry on May 20, 2017.

Where is Loic Assobmo located?

Loic Assobmo practices at 21 Dwight Rd, Longmeadow, MA 01106. The listed phone number is (413) 795-4555.

What is Loic Assobmo's specialty?

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

Is Loic Assobmo enrolled in Medicare?

Yes. Loic Assobmo 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.

Which organizations bill Medicare for Loic Assobmo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Loic Assobmo reassigns Medicare benefits to 2 organizations: Riverbend Medical Group, Inc. (Springfield, MA) and Baystate Medical Practices, Inc (Springfield, MA). Each 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 Loic Assobmo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Loic Assobmo accept?

Health plans from CareSource (Common Ground Healthcare) list Loic Assobmo 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 Loic Assobmo affiliated with any hospitals?

According to CMS data, Loic Assobmo is affiliated with Baystate Wing Hospital, Baystate Noble Hospital and Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Loic Assobmo was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.