Individual provider Active NPI

Caille S Roy, FNP-BC

  • Family Nurse Practitioner
  • Andover, MA
National Provider Identifier
1033629068
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2304011 Issued in MA
Practice address
57 River Rd
Andover, MA 01810-1144
Phone
(978) 686-0090
NPI assigned
Oct 4, 2017
Reactivated
Jan 4, 2018
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2304011 MA Primary
Family Nurse Practitioner 363LF0000X 072693-23 NH

Addresses

Primary practice location

57 River Rd
Andover, MA 01810-1144

Mailing address

34 Haverhill St
Lawrence, MA 01841-2884
Phone (978) 686-0090

Other practice location 1

207 S Main St
Newmarket, NH 03857
Phone (603) 659-3106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME, MA, CT4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20181120000450 NH Practitioner - Nurse Practitioner 4880956077 Reassigns benefits to 1 organization
I20230629002699 ME Practitioner - Nurse Practitioner 4880956077 Reassigns benefits to 1 organization
I20240603002534 MA Practitioner - Nurse Practitioner 4880956077 Reassigns benefits to 1 organization
I20250919001462 CT Practitioner - Nurse Practitioner 4880956077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ibis Health Services- Massachusetts LLCGroup PAC ID 4486998994, 9 clinicians
Lamprey Health Care IncGroup PAC ID 3577535319, shared by 5 NPIs, 52 clinicians
Ibis Health Services-New Hampshire PLLCGroup PAC ID 4486904422, 4 clinicians
Ibis Health Services-Maine LLCGroup PAC ID 5698019131, 7 clinicians

Practice addresses (Care Compare)

Harvard, MA 01451
Phone (978) 635-9090

10 Tsienneto Rd
Derry, NH 03038-1505
Phone (603) 659-3106

128 Route 27
Raymond, NH 03077-1220
Phone (603) 895-3351

207 S Main St
Newmarket, NH 03857-1843
Phone (603) 659-3106

225 Asylum St
FL 20
Hartford, CT 06103-1532
Phone (978) 635-9090

24 Heathrow Court
Nashua, NH 03063-1524

24 Heathrow CT
Nashua, NH 03063-1524
Phone (978) 635-9090

40 Saint Lawrence St
Portland, ME 04101-4316
Phone (978) 635-9090

Merit-based Incentive Payment System (MIPS)

Final score
66.04 of 100Reported as group
Quality
45
Improvement activities
40
Cost
60.13

Merit-based Incentive Payment System (MIPS)

Final score
77.48 of 100Reported as group
Quality
45
Improvement activities
40
Cost
81.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
072693-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ibis Health Services-New Hampshire PLLC CurrentSince May 21, 2023 Accepting new patients
Ibis Health Services-Maine LLC CurrentSince May 21, 2023 Accepting new patients
Health Quality Inc. PastSince Dec 27, 2017 Accepting new patients
Lamprey Health Care Inc Family Past Accepting new patients

Locations

1740 Massachusetts Ave
Boxborough, MA 01719
Phone (239) 257-7290

215 Ayer Rd
Unit 797
Harvard, MA 01451

Interoperability endpoints

  • Direct secure messaging: caille.roy.1@28541.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1033629068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 HAVERHILL ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412884",
            "telephone_number": "978-686-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 RIVER RD",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101144",
            "telephone_number": "978-686-0090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 S Main St",
            "address_purpose": "LOCATION",
            "city": "Newmarket",
            "state": "NH",
            "postal_code": "03857",
            "country_code": "US",
            "telephone_number": "603-659-3106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROY",
        "first_name": "CAILLE",
        "middle_name": "S",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "deactivation_date": "2017-12-07",
        "reactivation_date": "2018-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2304011",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "072693-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

Verify at the official NPI Registry.