Individual provider Active NPI

Elizabeth Light, MSW, MSN, PMHNP-BC

  • Nurse Practitioner
  • Springfield, MA
National Provider Identifier
1376061036
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN10024410 Issued in MA
Practice address
211 S Branch Pkwy
Springfield, MA 01118-1303
Phone
(413) 372-3023
NPI assigned
Sep 1, 2017
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN10024410 MA Primary
Clinical Social Worker 1041C0700X 223687 MA
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X CNP241573 ME

Addresses

Primary practice location

211 S Branch Pkwy
Springfield, MA 01118-1303

Mailing address

211 S Branch Pkwy
Springfield, MA 01118-1303
Phone (413) 372-3023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20241126001263 ME Practitioner - Nurse Practitioner 9537694682 Practice locations: Newport, ME

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

211 S Branch Pkwy
Springfield, MA 01118-1303

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223687MAMDClinical Social Worker
RN10024410MAMDNurse Practitioner
CNP241573MEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sebasticook Family Doctors Single Specialty Current Accepting new patients
Belonging Medical Group PLLC Single Specialty CurrentSince Sep 15, 2025 Accepting new patients

Locations

1900 W Park Dr
Ste 280
Westborough, MA 01581
Phone (508) 983-1425

165 Southbridge St
Worcester, MA 01608
Phone (508) 755-3773

29 Church St
Dexter, ME 04930
Phone (207) 487-4016

118 Moosehead Trl
Ste 5
Newport, ME 04953
Phone (207) 368-4213

Organizations & group practices 2

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": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1376061036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S BRANCH PKWY",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181303",
            "telephone_number": "413-372-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S BRANCH PKWY",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181303",
            "telephone_number": "413-372-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHT",
        "first_name": "ELIZABETH",
        "credential": "MSW, MSN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN10024410",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "223687",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP241573",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.