JACQUELINE ANN BERUBE (CNP) – Nurse Practitioner, NPI 1952885816

JACQUELINE ANN BERUBE (CNP) is a healthcare provider. based in Boston, Massachusetts. specializing in Nurse Practitioner. They hold the professional credentials CNP. They hold a License No. RN211198 (MA). The NPI Number for JACQUELINE ANN BERUBE (CNP) is 1952885816

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELINE ANN BERUBE (CNP)
NPI
1952885816
Phone
(800) 225-8885
Address
PO BOX 415348
Enumeration Date
17 September 2018
Last Update Date
8 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087659771
Graduation Year
2018 (8 years ago)
PAC ID
6305198631
Group Practice PAC ID
2567543689
Professional Enrollment ID
I20181015000927

Contacts

Secure Messaging
jberube212146@UmassMemorial.direct-ci.com
FHIR Endpoint
https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

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Provider Addresses for JACQUELINE ANN BERUBE (CNP)

  • PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States

    BOSTON, MA 022415348

    Phone: (800) 225-8885

    Fax: (508) 334-1977

    Type: Mailing

  • UMASS Memorial Medical Center University Campus Hospital, 55, Lake Avenue North, Worcester, Worcester County, Massachusetts, 01653, United States

    WORCESTER, MA 01655

    Phone: (508) 421-1400

    Fax: (508) 421-1490

    Type: Location

  • 64 ALLEN RD

    STURBRIDGE, MA 015661018

    Phone:

    Type: Mailing

  • 100 SOUTH ST

    SOUTHBRIDGE, MA 015504051

    Phone: (508) 765-9771

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181015000927INurse PractitionerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99238Hospital discharge day management, 30 minutes or less8483$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2422$0
View full utilization report →

Insurance plans in this area (ZIP 02241)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567543689View full group profile

Reviews

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Frequently asked questions

Can I verify JACQUELINE ANN BERUBE (CNP) with an NPI only?
You can start verification with NPI 1952885816 for JACQUELINE ANN BERUBE (CNP), then check state licensing separately.
Is JACQUELINE ANN BERUBE (CNP) listed as active for patients and plans?
The listing shows JACQUELINE ANN BERUBE (CNP) as active in the NPI system.
What taxonomy line describes JACQUELINE ANN BERUBE (CNP)?
For research purposes, treat JACQUELINE ANN BERUBE (CNP) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JACQUELINE ANN BERUBE (CNP)?
JACQUELINE ANN BERUBE (CNP)'s geographic hint is Boston, Massachusetts in our summary view.
Why does JACQUELINE ANN BERUBE (CNP) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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