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

Mark Hebert

Individual provider Nurse Practitioner · NPI 1831740331

Mark Hebert is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2019, 7 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group and accepts Medicare assignment. Licensed in Massachusetts, Michigan and Wisconsin.

Years since qualifying
7
Licensed in
MA, MI, WI
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

330 Brookline Ave
Boston, MA 02215-5400
Phone: (617) 667-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN10045268 (MA)
Nurse Practitioner Taxonomy 363L00000X · Licence 11719 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 4704273394 (MI)

Record details

NPI number1831740331
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 25, 2019
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026
Mailing address330 Brookline Ave, Boston, MA 02215-5400

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Boston