Individual provider Active NPI

Laura Marie Gleason, FNP-BC

  • Family Nurse Practitioner
  • Leominster, MA
National Provider Identifier
1851905186
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2274347 Issued in MA
Practice address
20 Commercial Rd Ste 2
Leominster, MA 01453-3339
Phone
(978) 798-6896
Fax
(978) 798-6897
NPI assigned
Sep 3, 2020
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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 2274347 MA Primary

Addresses

Primary practice location

20 Commercial Rd Ste 2
Leominster, MA 01453-3339

Mailing address

360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105
Phone (603) 410-6700

Other names 1

  • Laura Marie Godin Former name

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
I20210213000044 MA Practitioner - Nurse Practitioner 6901211564 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Convenientmd - FFS UC LLCGroup PAC ID 5193186492, 397 clinicians

Practice addresses (Care Compare)

20 Commercial Rd
Suite 2
Leominster, MA 01453-3339
Phone (978) 798-6896

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2274347MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Convenientmd - FFS UC LLC CurrentSince Jan 1, 2025 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Jan 1, 2025 Accepting new patients
Emerson Practice Associates, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Afc Physicians of Massachusetts, PC CurrentSince Jul 28, 2023 Accepting new patients
Convenientmd - FFS UC LLC Current Accepting new patients
Afc Physicians of Massachusetts CurrentSince Jul 28, 2023 Accepting new patients
Afc Physicians of Massachusetts, PC Current Accepting new patients

Locations

245 Hartford Ave
Bellingham, MA 02019
Phone (774) 295-4355

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

40 Davis Straits
Falmouth, MA 02540
Phone (774) 255-3010

20 Commercial Rd
Ste 2
Leominster, MA 01453
Phone (978) 798-6896

415 Cooley St
Unit 3
Springfield, MA 01128
Phone (413) 782-4878

117 Stafford St
Ste A
Worcester, MA 01603
Phone (508) 755-4010

926 W Boylston St
Worcester, MA 01606
Phone (205) 403-8902

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

Organizations & group practices 7

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": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1851905186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 US HIGHWAY 1 BYP UNIT 102",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017105",
            "telephone_number": "603-410-6700",
            "fax_number": "603-319-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COMMERCIAL RD STE 2",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533339",
            "telephone_number": "978-798-6896",
            "fax_number": "978-798-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEASON",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2274347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "GODIN",
            "middle_name": "MARIE",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.