NORTH BROOKFIELD PRIMARY CARE
NPI 1356132955
Clinic/Center - Primary Care in North Brookfield, MA
About North Brookfield Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH BROOKFIELD PRIMARY CARE (NPI 1356132955) is a healthcare organization registered as a primary care in North Brookfield, Massachusetts and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through December 25, 2027 and lists Laura T. Black, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North Brookfield Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to North Brookfield Primary Care, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 22D2336181
North Brookfield Primary Care · North Brookfield, MAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is North Brookfield Primary Care's NPI number?
The NPI number for North Brookfield Primary Care is 1356132955. It was assigned to this organization in the NPPES registry on May 14, 2025.
Where is North Brookfield Primary Care located?
North Brookfield Primary Care is located at 163 N Main St Ste B, North Brookfield, MA 01535. The listed phone number is (508) 380-6366.
What is North Brookfield Primary Care's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is North Brookfield Primary Care enrolled in Medicare?
Yes. North Brookfield Primary Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through North Brookfield Primary Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to North Brookfield Primary Care. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does North Brookfield Primary Care hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 22D2336181) is associated with this NPI, valid through December 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for North Brookfield Primary Care was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# North Brookfield Primary Care · NPI 1356132955
Primary Care organization in North Brookfield, Massachusetts. Organization record, active in the CMS NPPES registry since May 14, 2025.
## Identity
- **NPI:** 1356132955 (Entity type: Organization)
- **Enumerated:** May 14, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Laura Black, OWNER
## Practice location
- **Address:** 163 N MAIN ST STE B, North Brookfield, MA 01535-1400
- **Phone:** (508) 380-6366
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 14, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356132955) · Data from the CMS NPPES public registry.