Individual provider Active NPI

Tracy Lynn Carraggi, MSN, AGACNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mansfield, MA
National Provider Identifier
1831743095
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN240930 Issued in MA
Practice address
20 Cabot Blvd Ste 300
Mansfield, MA 02048-1183
Phone
(781) 202-1565
Fax
(617) 789-6741
NPI assigned
Jul 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN240930 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN05153 RI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN240930 MA Primary

Addresses

Primary practice location

20 Cabot Blvd Ste 300
Mansfield, MA 02048-1183

Mailing address

20 Cabot Blvd Ste 300
Mansfield, MA 02048-1183
Phone (781) 202-1565

Other practice location 1

200 Springs Rd
Bedford, MA 01730-1114
Phone (781) 687-2000

Other names 1

  • Mrs. Tracy Lynn Carraggi Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL carraggit@mindgrovehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200821000604 RI Practitioner - Nurse Practitioner 9335560101
I20260623000181 MA Practitioner - Nurse Practitioner 9335560101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

827 Washington St
East Bridgewater, MA 02333-1234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN02105RIMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nri Medical Services, Incorporated CurrentSince Jul 14, 2020 Accepting new patients
Nri Pain Management LLC PastSince Jul 14, 2020 Accepting new patients

Locations

63 Eddie Dowling Hwy
Ste 10
North Smithfield, RI 02896
Phone (401) 762-0210

63 Park Sq
North Smithfield, RI 02896
Phone (401) 333-8090

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1831743095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CABOT BLVD STE 300",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481183",
            "telephone_number": "781-202-1565",
            "fax_number": "617-789-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CABOT BLVD STE 300",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481183",
            "telephone_number": "781-202-1565",
            "fax_number": "617-789-6741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "MA",
            "postal_code": "017301114",
            "country_code": "US",
            "telephone_number": "781-687-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRAGGI",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MSN, AGACNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MA",
            "license": "RN240930",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN05153",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN240930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "carraggit@mindgrovehealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "20 Cabot Blvd Ste 300",
            "city": "Mansfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020481183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "CARRAGGI",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "AGACNP-BC, PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mansfield, MA

Sources for this page

Verify at the official NPI Registry.