Individual provider Active NPI

Christine Rosa, APRN

  • Family Nurse Practitioner
  • Stratford, CT
National Provider Identifier
1023494036
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6166 Issued in CT
Practice address
1 Hawley LN
Stratford, CT 06614-1200
Phone
(203) 383-7735
Fax
(203) 383-7735
NPI assigned
Aug 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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 6166 CT Primary

Addresses

Primary practice location

1 Hawley LN
Stratford, CT 06614-1200

Mailing address

1 Hawley LN
Stratford, CT 06614-1200
Phone (203) 383-7735

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
I20151110000984 CT Practitioner - Nurse Practitioner 5294045910 Reassigns benefits to 2 organizations

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
MC Diagnostic of Connecticut, P.C.Group PAC ID 0941382113, 66 clinicians

Practice addresses (Care Compare)

22 Depot Hill Rd
Southbury, CT 06488-2258
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
86.34 of 100Reported as group
Quality
82.53
Improvement activities
40
Cost
86.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6166CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care Connecticut PLLC Family CurrentSince Jun 4, 2025 Accepting new patients
MC Diagnostic of Connecticut, P.C. Family CurrentSince Sep 21, 2015 Accepting new patients

Locations

3514 Main St
Coventry, CT 06238
Phone (860) 298-5925

323 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 384-9666

22 Depot Hill Rd
Southbury, CT 06488
Phone (203) 262-1831

1 Hawley Ln
Stratford, CT 06614
Phone (203) 383-7735

1 Hawley Ln
Ste 2
Stratford, CT 06614

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

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": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1023494036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HAWLEY LN",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141200",
            "telephone_number": "203-383-7735",
            "fax_number": "203-375-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAWLEY LN",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141200",
            "telephone_number": "203-383-7735",
            "fax_number": "203-383-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "CHRISTINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, CT

Sources for this page

Verify at the official NPI Registry.