Individual provider Active NPI

Nicole Ashley Daluz

  • Nurse Practitioner
  • Shrewsbury, MA
National Provider Identifier
1891367405
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2307153 Issued in MA
Practice address
604 Main St
Shrewsbury, MA 01545-5663
Phone
(508) 842-0057
Fax
(508) 845-6571
NPI assigned
Jul 13, 2021
Reactivated
Dec 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2307153 MA Primary

Addresses

Primary practice location

604 Main St
Shrewsbury, MA 01545-5663

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885

Other practice location 1

333 SW Cutoff
Northborough, MA 01532-2384
Phone (774) 570-5000

Other practice location 2

26 Julio Dr
Shrewsbury, MA 01545-3020
Phone (508) 842-5594

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
I20220201001535 MA Practitioner - Nurse Practitioner 5395138085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

604 Main St
Shrewsbury, MA 01545-5663
Phone (508) 842-6502

Hospital & facility affiliations

  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163
  • Umass Memorial Health - Harrington Hospital Hospital, Southbridge, MA, CCN 220019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2307153MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Medical Group Inc Nurse Practitioner CurrentSince Jan 29, 2024 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Jan 29, 2024 Accepting new patients

Locations

333 SW Cutoff
Northborough, MA 01532
Phone (774) 570-5000

604 Main St
Shrewsbury, MA 01545
Phone (508) 842-0057

26 Julio Dr
Shrewsbury, MA 01545
Phone (508) 842-5594

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

291 Lincoln St
Worcester, MA 01605
Phone (508) 334-6251

291 Lincoln St
Ste 303
Worcester, MA 01605
Phone (508) 334-8409

Organizations & group practices 2

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.

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": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1891367405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-8885",
            "fax_number": "508-334-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 MAIN ST",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015455663",
            "telephone_number": "508-842-0057",
            "fax_number": "508-845-6571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 SW Cutoff",
            "address_purpose": "LOCATION",
            "city": "Northborough",
            "state": "MA",
            "postal_code": "015322384",
            "country_code": "US",
            "telephone_number": "774-570-5000",
            "fax_number": "774-570-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 Julio Dr",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "MA",
            "postal_code": "015453020",
            "country_code": "US",
            "telephone_number": "508-842-5594",
            "fax_number": "508-842-0989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALUZ",
        "first_name": "NICOLE",
        "middle_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "deactivation_date": "2021-11-09",
        "reactivation_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2307153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

Verify at the official NPI Registry.