Active NPI
Travis Cory Caldarone
- Psychiatric/Mental Health Nurse Practitioner
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 092467-23
- Practice address
- 235 N Pearl St
Brockton, MA 02301-1794 - Phone
- (508) 427-3000
- NPI assigned
- May 6, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 130335 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 092467-23 | NH | Primary |
Addresses
Primary practice location
235 N Pearl St
Brockton, MA 02301-1794
Mailing address
960 Massachusetts Ave Ste 2
Boston, MA 02118-2690
Phone (617) 414-5405
Other practice location 1
55 Fogg Rd
South Weymouth, MA 02190-2455
Phone (781) 624-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000
Hospital & facility affiliations
- Good Samaritan Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 092467-23 | NH | MD | Psychiatric/Mental Health Nurse Practitioner |
| 130335 | MA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| BMC Affiliated Physicians, Inc. | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| South Suburban Gastroenterology, PC | Current | Accepting new patients | |
| Weymouth Endoscopy, LLC | Past | Accepting new patients |
Locations
138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302
960 Massachusetts Ave
Ste 2
Boston, MA 02118
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525
2100 Dorchester Ave
Dorchestr Ctr, MA 02124
Phone (617) 506-2222
795 Middle St
Fall River, MA 02721
Phone (508) 235-5046
70 East St
Methuen, MA 01844
Phone (978) 682-1906
97 Libbey Park
Ste 300
Weymouth, MA 02189
Phone (781) 331-2922
55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293
1085 Main St
Weymouth, MA 02190
Phone (781) 331-2922
Interoperability endpoints
- tcaldarone97527@direct.bmc.masshiway.net
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1245320910
-
- Gastroenterology Physician
- South Weymouth, MA
- NPI 1114948478
-
- Anesthesiology Physician
- Fall River, MA
- NPI 1043711914
Nurse Anesthetist, Certified Registered
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Endoscopy Clinic/Center
- South Weymouth, MA
- NPI 1033199906
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1871329110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1740801299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 MASSACHUSETTS AVE STE 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182690",
"telephone_number": "617-414-5405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 N PEARL ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011794",
"telephone_number": "508-427-3000"
}
],
"practiceLocations": [
{
"address_1": "55 Fogg Rd",
"address_purpose": "LOCATION",
"city": "South Weymouth",
"state": "MA",
"postal_code": "021902455",
"country_code": "US",
"telephone_number": "781-624-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALDARONE",
"first_name": "TRAVIS",
"middle_name": "CORY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-06",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "130335",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NH",
"license": "092467-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.