Individual provider Active NPI

Caroline B Mudd, NP

  • Women's Health Nurse Practitioner
  • Brockton, MA
National Provider Identifier
1134100241
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
181344 Issued in MA
Practice address
830 Oak St
Suite 223E-Good Samaritan Women's Health
Brockton, MA 02301-1168
Phone
(508) 427-2222
Fax
(508) 897-4773
NPI assigned
Nov 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 181344 MA Primary

Addresses

Primary practice location

830 Oak St
Suite 223E-Good Samaritan Women's Health
Brockton, MA 02301-1168

Mailing address

Bmchs Provider Enrollment
960 Massachusetts Ave FLR 2
Bos, MA 02118

Other identifiers 1

IdentifierTypeStateIssuer
0379531MedicaidMA

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
I20050727000857 MA Practitioner - Nurse Practitioner 2961430368 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 Perwal St
Westwood, MA 02090-1928

77 Warren St
Brighton, MA 02135-3601

960 Massachusetts Ave
Boston, MA 02118-2620

960 Massachusetts Ave
Boston, MA 02118-2690

PO Box
Belfast, ME 04915-4100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
181344MAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Medical of Massachusetts, PC CurrentSince Oct 30, 2024 Accepting new patients
BMC Affiliated Physicians, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 28, 2015 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 28, 2015 Accepting new patients
Medical Care of Boston Management Corporation Past Accepting new patients
Good Samaritan Medical Practice Corp Past Accepting new patients
Bridgewater Pediatrics LLC Past Accepting new patients

Locations

960 Massachusetts Ave
Ste 2
Boston, MA 02118

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

830 Oak St
Ste 223E
Brockton, MA 02301
Phone (508) 586-3683

1 Pearl St
Ste 2100
Brockton, MA 02301
Phone (508) 897-6040

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050

830 Oak St
Ste 223
Brockton, MA 02301
Phone (508) 427-2222

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

21 Bristol Dr
Ste 203
South Easton, MA 02375
Phone (508) 565-3410

Interoperability endpoints

  • Direct secure messaging: cmudd259936@direct.bmc.masshiway.net
  • Direct secure messaging: caroline.mudd.1@2017.direct.athenahealth.com

Organizations & group practices 7

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 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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1134100241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BMCHS PROVIDER ENROLLMENT",
            "address_2": "960 MASSACHUSETTS AVE FLR 2",
            "city": "BOS",
            "state": "MA",
            "postal_code": "02118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 OAK ST",
            "address_2": "SUITE 223E-GOOD SAMARITAN WOMEN'S HEALTH",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011168",
            "telephone_number": "508-427-2222",
            "fax_number": "508-897-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDD",
        "first_name": "CAROLINE",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "181344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0379531",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.