Individual provider Active NPI

Mekessia Richards-Carby, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1033726856
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9207 Issued in CT
Practice address
566 Prospect Ave
Hartford, CT 06105
Phone
(860) 655-4986
NPI assigned
Sep 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9207 CT Primary

Addresses

Primary practice location

566 Prospect Ave
Hartford, CT 06105

Mailing address

566 Prospect Ave
Hartford, CT 06105-2920
Phone (860) 655-4986

Other identifiers 6

IdentifierTypeStateIssuer
008039745MedicaidCT
008056168MedicaidCT
008098243MedicaidCT
004217099MedicaidCT
008056033MedicaidCT
008068298MedicaidCT

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
I20201110000644 CT Practitioner - Nurse Practitioner 1052721685 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Windham Community Memorial Hospital IncGroup PAC ID 2961309059, 67 clinicians
The William W Backus HospitalGroup PAC ID 0749170645, 248 clinicians
Bridges Healthcare IncGroup PAC ID 3971401365, 33 clinicians

Practice addresses (Care Compare)

112 Mansfield Ave
Willimantic, CT 06226-2045
Phone (860) 456-6752

326 Washington St
Inpatien Psych
Norwich, CT 06360-2740
Phone (860) 889-8331

949 Bridgeport Ave
Milford, CT 06460-3142
Phone (203) 878-6365

Hospital & facility affiliations

  • Windham Community Memorial Hospital Hospital, Willimantic, CT, CCN 070021
  • William W Backus Hospital Hospital, Norwich, CT, CCN 070024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Natchaug Hospital, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Bridges Healthcare Inc. CurrentSince Apr 1, 2025 Accepting new patients
Serenity Hills Behavioral Health and Wellness LLC Psychiatric/Mental Health CurrentSince Feb 11, 2024 Accepting new patients
William W Backus Hospital CurrentSince Feb 1, 2026 Accepting new patients
The William W Backus Hospital CurrentSince Feb 1, 2026 Accepting new patients
Step Up Care PC LLC CurrentSince Jun 5, 2021 Accepting new patients

Locations

1353 Gold Star Hwy
Groton, CT 06340
Phone (860) 449-9947

566 Prospect Ave
Hartford, CT 06105
Phone (860) 233-6076

566 Prospect Ave
#1C
Hartford, CT 06105

189 Storrs Rd
Mansfield Ctr, CT 06250
Phone (860) 456-1311

949 Bridgeport Ave
Milford, CT 06460
Phone (203) 301-2308

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

581 Poquonock Ave
Windsor, CT 06095
Phone (860) 688-7211

27 Randolph Rd
#A
Howell, NJ 07731
Phone (732) 797-9290

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/bridgesct/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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1033726856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 PROSPECT AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052920",
            "telephone_number": "860-655-4986",
            "fax_number": "203-781-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 PROSPECT AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06105",
            "telephone_number": "860-655-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS-CARBY",
        "first_name": "MEKESSIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "9207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008039745",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008056168",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008098243",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004217099",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008056033",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008068298",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.