Individual provider Active NPI

Monika E. Kieltyka, FNP

  • Family Nurse Practitioner
  • Plainville, CT
National Provider Identifier
1013361641
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
006508 Issued in CT
Practice address
201 N Mountain Rd
Plainville, CT 06062-1848
Phone
(860) 229-0100
Fax
(860) 225-2647
NPI assigned
Apr 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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 006508 CT Primary

Addresses

Primary practice location

201 N Mountain Rd
Plainville, CT 06062-1848

Mailing address

201 N Mountain Rd
Plainville, CT 06062-1848
Phone (860) 299-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20160629000006 CT Practitioner - Nurse Practitioner 6901197532 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc CurrentSince Jun 1, 2016 Accepting new patients
MHS Primary Care Inc CurrentSince Sep 10, 2018 Accepting new patients
MHS Primary Care Inc Family CurrentSince Sep 10, 2018 Accepting new patients

Locations

176 Westbrook Rd
Essex, CT 06426
Phone (860) 767-8265

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

540 Saybrook Rd
Middletown, CT 06457
Phone (860) 347-7491

540 Saybrook Rd
Ste 100B
Middletown, CT 06457
Phone (860) 347-6683

201 N Mountain Rd
Plainville, CT 06062
Phone (860) 224-5416

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

Interoperability endpoints

  • Direct secure messaging: mkieltyka18237@middlesexhealthprd.direct-ci.com

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MHS Primary Care, Inc. 180 clinicians

Practice addresses (Care Compare)

540 Saybrook Rd
Middletown, CT 06457-4711
Phone (860) 358-4770

Hospital & facility affiliations

  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1013361641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N MOUNTAIN RD",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621848",
            "telephone_number": "860-299-0100",
            "fax_number": "860-225-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N MOUNTAIN RD",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621848",
            "telephone_number": "860-229-0100",
            "fax_number": "860-225-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIELTYKA",
        "first_name": "MONIKA",
        "middle_name": "E.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "006508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainville, CT

Sources for this page

Verify at the official NPI Registry.