Nicole Radi

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

006208 Issued in CT

Practice address

9900 Bren Rd E
Minnetonka, MN 55343-9664

Phone

(203) 393-6993

NPI assigned

Oct 20, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Nicole Morehouse Former name

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Step Up Care PC LLCGroup PAC ID 5496088346, 176 clinicians

Impact Health PCGroup PAC ID 0941562664, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Griffin Hospital Hospital, Derby, CT, CCN 070031

Merit-based Incentive Payment System (MIPS)

Final score

85.85 of 100Reported as individual

Quality

62.95

Improvement activities

40

Cost

87.42

Merit-based Incentive Payment System (MIPS)

Final score

87.14 of 100Reported as group

Quality

71.85

Improvement activities

40

Cost

75.41

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Impact Health P.C.

  • Nurse Practitioner
  • Orange, CT
  • NPI 1730694316

  Family

  Medicare reassignment Care Compare group NPD
• Step Up Care PC LLC

  • Counselor
  • Danielson, CT
  • NPI 1154884740
  Medicare reassignment Care Compare group NPD
• Liberty Integrated Behavioral Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • New Britain, CT
  • NPI 1417483165
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Griffin Hospital

  • General Acute Care Hospital
  • Derby, CT
  • NPI 1184639973
  Care Compare affiliation

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1023480829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WOODBINE RD",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065251619",
            "telephone_number": "203-393-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 BREN RD E",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439664",
            "telephone_number": "203-393-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADI",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "006208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MOREHOUSE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacob Tyler Quinton
• Kara Quist, PT
• Halima Ali Qureshi, MBBS
• Melissa Anne Raatz, MSW, LICSW, CHT
• Megan Elizabeth Raby, SLP-CF
• Phillip Michael Armand Radke, M.D.
• Sarah Raduns, MSW, LICSW
• Maria Rafdal, L.AC
• Hannan Abdirizak Rage
• Maria Cecilia Ragsdale, NPC

• Family Nurse Practitioner in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.