Individual provider Active NPI

Carine Marie Luxama, PMHNP-BC, ANP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Randolph, MA
National Provider Identifier
1114048535
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
262474 Issued in MA
Practice address
1 Frank Leary Way Unit 1
Randolph, MA 02368-4503
Phone
(617) 207-6289
Fax
(734) 264-9903
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 262474 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 262474 MA Primary

Addresses

Primary practice location

1 Frank Leary Way Unit 1
Randolph, MA 02368-4503

Mailing address

1 Frank Leary Way Unit 1
Randolph, MA 02368-4503
Phone (888) 276-4747

Other practice location 1

1 Frank Leary Way Unit 1
Randolph, MA 02368-4503
Phone (888) 276-4747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070508000517 MA Practitioner - Nurse Practitioner 8123124104 Reassigns benefits to 1 organization
Practice locations: Braintree, MA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newvision Healthcare GroupGroup PAC ID 3476962325, 3 clinicians

Practice addresses (Care Compare)

1 Frank Leary Way
Suite 1
Randolph, MA 02368-4503
Phone (781) 985-0210

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
262474MAMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newvision Healthcare Group CurrentSince Jul 1, 2021 Accepting new patients

Locations

4 Frank Leary Way
Ste D
Randolph, MA 02368
Phone (781) 885-7530

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1114048535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FRANK LEARY WAY UNIT 1",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684503",
            "telephone_number": "888-276-4747",
            "fax_number": "781-795-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FRANK LEARY WAY UNIT 1",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684503",
            "telephone_number": "617-207-6289",
            "fax_number": "734-264-9903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Frank Leary Way Unit 1",
            "address_purpose": "LOCATION",
            "city": "Randolph",
            "state": "MA",
            "postal_code": "023684503",
            "country_code": "US",
            "telephone_number": "888-276-4747",
            "fax_number": "781-795-7479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUXAMA",
        "first_name": "CARINE",
        "middle_name": "MARIE",
        "credential": "PMHNP-BC, ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "262474",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "262474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

Verify at the official NPI Registry.