Individual provider Active NPI

Rose N Casimir, FNP

  • Family Nurse Practitioner
  • Stamford, CT
National Provider Identifier
1013404565
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F02240029 Issued in CT
Practice address
59 Roxbury Rd
Stamford, CT 06902-1283
Phone
(203) 322-2100
NPI assigned
Apr 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 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 F02240029 CT Primary

Addresses

Primary practice location

59 Roxbury Rd
Stamford, CT 06902-1283

Mailing address

26 Stone Wall Dr
Stamford, CT 06905-3027
Phone (203) 274-5458

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
I20241112002175 CT Practitioner - Nurse Practitioner 5698209765 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stamford UC PC 8 clinicians

Practice addresses (Care Compare)

1266 E Main St
Suite 700R
Stamford, CT 06902-3507
Phone (203) 340-0911

3000 Summer St
Stamford, CT 06905-4311
Phone (203) 969-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F02240029CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
QMG3, LLC CurrentSince Aug 22, 2024 Accepting new patients
QMG5,LLC CurrentSince Aug 22, 2024 Accepting new patients
Quentin Medical Group, LLC CurrentSince Aug 22, 2024 Accepting new patients
QMG2,LLC CurrentSince Aug 22, 2024 Accepting new patients
QMG7,LLC CurrentSince Aug 22, 2024 Accepting new patients
CNP Primary Care and Wellness, LLC Family CurrentSince Feb 16, 2025 Accepting new patients
QMG4, LLC CurrentSince Aug 22, 2024 Accepting new patients
Stamford UC PC CurrentSince Nov 18, 2024 Accepting new patients

Locations

4200 Main St
Bridgeport, CT 06606
Phone (203) 916-5151

161 Boston Ave
Bridgeport, CT 06610
Phone (203) 333-4400

1918 Black Rock Tpke
Fairfield, CT 06825
Phone (203) 583-8400

527 Elm St
New Haven, CT 06511
Phone (203) 675-1345

389 Bridgeport Ave
Shelton, CT 06484
Phone (203) 567-4171

3000 Summer St
Stamford, CT 06905
Phone (203) 969-2000

1266 E Main St
Ste 700R
Stamford, CT 06902
Phone (203) 340-0911

57 Monroe Tpke
Trumbull, CT 06611
Phone (203) 675-1345

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

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": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1013404565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 STONE WALL DR",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069053027",
            "telephone_number": "203-274-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 ROXBURY RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069021283",
            "telephone_number": "203-322-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASIMIR",
        "first_name": "ROSE",
        "middle_name": "N",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "F02240029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.