Individual provider Active NPI

Klavdia S. Brisson, DNP

  • Nurse Practitioner
  • Brighton, MA
National Provider Identifier
1114338530
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN270633 Issued in MA
Practice address
495 Western Ave
Brighton, MA 02135-1007
Phone
(617) 783-0500
Fax
(617) 562-1398
NPI assigned
May 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN270633 MA Primary

Addresses

Primary practice location

495 Western Ave
Brighton, MA 02135-1007

Mailing address

27 Congress St Ste 513
Salem, MA 01970-5523
Phone (978) 744-8388

Other practice location 1

47 Congress St
Salem, MA 01970-5590
Phone (978) 744-8388

Other identifiers 1

IdentifierTypeStateIssuer
110114876AMedicaidMA

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
I20170821000532 MA Practitioner - Nurse Practitioner 2365714771 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles River Community Health, IncGroup PAC ID 5294709812, 33 clinicians

Practice addresses (Care Compare)

43 Foundry Ave
Suite 110
Waltham, MA 02453-8313
Phone (781) 693-3800

495 Western Ave
Brighton, MA 02135-1007
Phone (617) 783-0500

Hospital & facility affiliations

  • Mount Auburn Hospital Hospital, Cambridge, MA, CCN 220002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers RWJ Eric B. Chandler Health Center Current Accepting new patients
Charles River Community Health Inc CurrentSince May 15, 2023 Accepting new patients
Charles River Community Health, Inc CurrentSince May 15, 2023 Accepting new patients

Locations

495 Western Ave
Brighton, MA 02135

43 Foundry Ave
Ste 110
Waltham, MA 02453
Phone (781) 693-3800

277 George St
New Brunswick, NJ 08901
Phone (732) 235-6700

123 Church St
New Brunswick, NJ 08901
Phone (732) 235-2052

Interoperability endpoints

  • Direct secure messaging: kbrisson18691@direct.ctc.masshiway.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1114338530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CONGRESS ST STE 513",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705523",
            "telephone_number": "978-744-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 WESTERN AVE",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021351007",
            "telephone_number": "617-783-0500",
            "fax_number": "617-562-1398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 Congress St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MA",
            "postal_code": "019705590",
            "country_code": "US",
            "telephone_number": "978-744-8388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRISSON",
        "first_name": "KLAVDIA",
        "middle_name": "S.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-20",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN270633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110114876A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.