Individual provider Active NPI

Caroline Reuillard, APRN, MSN, FNP-C

  • Nurse Practitioner
  • Brookline, MA
National Provider Identifier
1114702305
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F08230300 Issued in MA
Practice address
MGB Urgent Care
1285 Beacon Street
Brookline, MA 02446
Phone
(617) 751-6205
NPI assigned
Aug 28, 2023
Last updated
May 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

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 F08230300 MA Primary

Addresses

Primary practice location

MGB Urgent Care
1285 Beacon Street
Brookline, MA 02446

Mailing address

5 Russell St Apt 1
Amesbury, MA 01913-1242
Phone (339) 613-7688

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
I20250509000866 MA Practitioner - Nurse Practitioner 1052838307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1 Hutchinson Dr
Danvers, MA 01923-3748
Phone (978) 739-6950

1285 Beacon St
Brookline, MA 02446-5237
Phone (888) 980-0505

137 Stuart St
Suite A7
Boston, MA 02116-5609
Phone (617) 393-5059

15 Corporate Park Dr
Pembroke, MA 02359-1966
Phone (857) 307-4300

480 Lynnfield St
Lynn, MA 01904-1419
Phone (781) 593-3400

71 Needham St
Newton, MA 02461-1663
Phone (857) 598-4460

90 Brigham Way
Westwood, MA 02090-2444
Phone (774) 231-1941

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
F08230300MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Jan 28, 2026 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Jun 9, 2025 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Jun 9, 2025 Accepting new patients
Mass General Brigham Urgent Care LLC Current Accepting new patients

Locations

1285 Beacon St
Brookline, MA 02446
Phone (617) 751-6205

Interoperability endpoints

  • Direct secure messaging: reuillard.caroline.puc@direct.partners.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1114702305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 RUSSELL ST APT 1",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019131242",
            "telephone_number": "339-613-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MGB URGENT CARE",
            "address_2": "1285 BEACON STREET",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02446",
            "telephone_number": "617-751-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REUILLARD",
        "first_name": "CAROLINE",
        "credential": "APRN, MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2025-05-01",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "F08230300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.