Individual provider Active NPI

Caitlyn M. Belcher, F.N.P

  • Family Nurse Practitioner
  • Brockton, MA
National Provider Identifier
1962063529
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2303418 Issued in MA
Practice address
65 Libby St
Brockton, MA 02302-2992
Phone
(508) 584-6060
Fax
(508) 584-4949
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 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 RN2303418 MA Primary

Addresses

Primary practice location

65 Libby St
Brockton, MA 02302-2992

Mailing address

65 Libby St
Brockton, MA 02302-2992
Phone (508) 584-6060

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
I20191021000650 MA Practitioner - Nurse Practitioner 2769713940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brockton PediatricsGroup PAC ID 5496807414, 3 clinicians

Practice addresses (Care Compare)

65 Libby St
Brockton, MA 02302-2949
Phone (508) 584-6060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2303418MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brockton Pediatrics CurrentSince Sep 1, 2022 Accepting new patients
Southeast Medical Group, P.C. PastSince Sep 1, 2022 Accepting new patients

Locations

65 Libby St
Brockton, MA 02302
Phone (508) 584-6060

36 N Bedford St
East Bridgewater, MA 02333
Phone (508) 378-1280

Interoperability endpoints

  • Direct secure messaging: almeida.caitlyn.brp@direct.partners.masshiway.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

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.

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1962063529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 LIBBY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022992",
            "telephone_number": "508-584-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 LIBBY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022992",
            "telephone_number": "508-584-6060",
            "fax_number": "508-584-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELCHER",
        "first_name": "CAITLYN",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "F.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2024-01-29",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2303418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.