Individual provider Active NPI

Brooke Ducharme

  • Family Nurse Practitioner
  • Lunenburg, MA
National Provider Identifier
1386455285
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01250167 Issued in MA
Practice address
48306 Carousel LN
Lunenburg, MA 01462-2454
Phone
(978) 696-6222
NPI assigned
Jan 20, 2025
Last updated
Jan 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F01250167 MA Primary

Addresses

Primary practice location

48306 Carousel LN
Lunenburg, MA 01462-2454

Mailing address

48306 Carousel LN
Lunenburg, MA 01462-2454
Phone (978) 696-6222

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
I20250228001777 MA Practitioner - Nurse Practitioner 3779003157 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F01250167MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virtucare Harmony CurrentSince Jan 6, 2025 Accepting new patients

Locations

11 Apex Dr
Ste 300A
Marlborough, MA 01752
Phone (413) 323-3899

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, 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": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1386455285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48306 CAROUSEL LN",
            "city": "LUNENBURG",
            "state": "MA",
            "postal_code": "014622454",
            "telephone_number": "978-696-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48306 CAROUSEL LN",
            "city": "LUNENBURG",
            "state": "MA",
            "postal_code": "014622454",
            "telephone_number": "978-696-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCHARME",
        "first_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "F01250167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lunenburg, MA

Sources for this page

Verify at the official NPI Registry.