Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katisha Ermite Bellegarde

Individual provider Nurse Practitioner · NPI 1336822253

Katisha Ermite Bellegarde is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2023, 3 years ago. Practices with Massachusetts General Physicians Organization Inc, a 3,484-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 726-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2001 Falls Blvd Apt 321, Quincy, MA 02169-8208 — (978) 857-8229

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN2331508 (MA)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence RN2331508 (MA)

Record details

NPI number1336822253
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 8, 2023
Last updated in NPPESSeptember 27, 2023
Certification dateSeptember 27, 2023
Mailing address55 Fruit St, Boston, MA 02114-2621

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Massachusetts General Physicians Organization Inc — 3484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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