Individual provider Active NPI

Briana Gwaltney, APRN

  • Family Nurse Practitioner
  • Springfield, MA
National Provider Identifier
1528536174
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2364705 Issued in MA
Practice address
100 Wason Ave Ste 120
Springfield, MA 01107-1179
Phone
(413) 241-2100
Fax
(413) 735-1986
NPI assigned
Nov 12, 2018
Last updated
Mar 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14658 CT
Family Nurse Practitioner 363LF0000X RN2364705 MA Primary

Addresses

Primary practice location

100 Wason Ave Ste 120
Springfield, MA 01107-1179

Mailing address

100 Wason Ave Ste 120
Springfield, MA 01107-1179

Other practice location 1

160 Hazard Ave Ste 103
Enfield, CT 06082-5437
Phone (860) 962-6600

Other practice location 2

345 N Main St Ste 200
West Hartford, CT 06117-2508
Phone (860) 962-6600

Other identifiers 3

IdentifierTypeStateIssuer
ARNP9355568OtherFLPROFESSIONAL LICENSURE
6700634MedicaidVT
3120790MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, CT, MA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190816002328 VT Practitioner - Nurse Practitioner 2365788411
I20250620001346 CT Practitioner - Nurse Practitioner 2365788411 Reassigns benefits to 2 organizations
I20260319002202 MA Practitioner - Nurse Practitioner 2365788411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Valley Urology, PCGroup PAC ID 7214972207, 15 clinicians
Prime Healthcare, PCGroup PAC ID 6709787930, 67 clinicians

Practice addresses (Care Compare)

100 Wason Ave
Suite 120
Springfield, MA 01107-1119
Phone (413) 241-2100

15 Palomba Dr
Suite 7
Enfield, CT 06082-3853
Phone (413) 241-2100

160 Hazard Ave
Suite 103
Enfield, CT 06082-4520
Phone (860) 962-6600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14658CTMDFamily Nurse Practitioner
RN2364705MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare, PC Family CurrentSince Jun 23, 2025 Accepting new patients
Prime Healthcare (Sleep Lab) CurrentSince Jul 1, 2025 Accepting new patients
Pioneer Valley Urology, PC CurrentSince Mar 9, 2026 Accepting new patients
Radiology & Imaging Inc PastSince Mar 9, 2026 Accepting new patients
Southern Vermont Health Services Corp PastSince Feb 1, 2022 Accepting new patients

Locations

140 Hazard Ave
Ste 103
Enfield, CT 06082
Phone (413) 241-2100

15 Palomba Dr
Ste 7
Enfield, CT 06082

160 Hazard Ave
Ste 103
Enfield, CT 06082
Phone (860) 580-5656

345 N Main St
Ste 200
West Hartford, CT 06117
Phone (860) 586-2111

30 Jordan Ln
Wethersfield, CT 06109
Phone (860) 263-0253

30 Jordan Ln
Ste 3
Wethersfield, CT 06109
Phone (860) 263-0253

100 Wason Ave
Ste 120
Springfield, MA 01107
Phone (413) 241-2100

Interoperability endpoints

  • Direct secure messaging: briana.gwaltney.1@31712.direct.athenahealth.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60885

Organizations & group practices 5

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 2

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": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1528536174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WASON AVE STE 120",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WASON AVE STE 120",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071179",
            "telephone_number": "413-241-2100",
            "fax_number": "413-735-1986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Hazard Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Enfield",
            "state": "CT",
            "postal_code": "060825437",
            "country_code": "US",
            "telephone_number": "860-962-6600",
            "fax_number": "860-962-6866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 N Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061172508",
            "country_code": "US",
            "telephone_number": "860-962-6600",
            "fax_number": "860-962-6866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GWALTNEY",
        "first_name": "BRIANA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "14658",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2364705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSURE",
            "identifier": "ARNP9355568",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6700634",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3120790",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.