Individual provider Active NPI

Caroline Anne Naylor, FNP-C

  • Family Nurse Practitioner
  • Raynham, MA
National Provider Identifier
1922619170
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2290579 Issued in MA
Practice address
1215 Broadway
Raynham, MA 02767-1942
Phone
(508) 894-0400
Fax
(508) 894-0412
NPI assigned
Aug 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 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 RN2290579 MA Primary

Addresses

Primary practice location

1215 Broadway
Raynham, MA 02767-1942

Mailing address

1215 Broadway
Raynham, MA 02767
Phone (508) 894-0400

Other practice location 1

71 Parkman St Apt 1A
Brookline, MA 02446-7020
Phone (860) 917-8737

Other practice location 2

1 Deaconess Rd
Boston, MA 02215-5321
Phone (617) 754-3150

Other names 1

  • Caroline Anne Riley 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
I20201228000617 MA Practitioner - Nurse Practitioner 4981017571 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
Group practices
Signature Healthcare Medical Group IncGroup PAC ID 7719876267, 250 clinicians

Practice addresses (Care Compare)

1215 Broadway
Raynham, MA 02767-1942
Phone (508) 894-0400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as group
Quality
70.13
Promoting interoperability
100
Improvement activities
40
Cost
75.97

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Healthcare Medical Group Inc CurrentSince Mar 1, 2022 Accepting new patients

Locations

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

1215 Broadway
Raynham, MA 02767
Phone (508) 828-3967

Interoperability endpoints

  • Direct secure messaging: caroline.naylor@direct.signature.masshiway.net

Organizations & group practices 1

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 1

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": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1922619170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 BROADWAY",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "02767",
            "telephone_number": "508-894-0400",
            "fax_number": "508-894-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 BROADWAY",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027671942",
            "telephone_number": "508-894-0400",
            "fax_number": "508-894-0412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "71 Parkman St Apt 1A",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024467020",
            "country_code": "US",
            "telephone_number": "860-917-8737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Deaconess Rd",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022155321",
            "country_code": "US",
            "telephone_number": "617-754-3150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAYLOR",
        "first_name": "CAROLINE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2290579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "RILEY",
            "middle_name": "ANNE",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raynham, MA

Sources for this page

Verify at the official NPI Registry.