Individual provider Active NPI

Paul Mainella, APRN

  • Family Nurse Practitioner
  • Guilford, CT
National Provider Identifier
1033727078
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8933 Issued in CT
Practice address
1057 Boston Post Rd Ste 2
Guilford, CT 06437-2672
Phone
(203) 458-1444
NPI assigned
Jul 15, 2020
Last updated
Nov 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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 8933 CT Primary

Addresses

Primary practice location

1057 Boston Post Rd Ste 2
Guilford, CT 06437-2672

Mailing address

14 Irving PL Apt C
Danbury, CT 06810-1315
Phone (518) 727-1763

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
I20201111001947 CT Practitioner - Nurse Practitioner 0941610463 Reassigns benefits to 3 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
Livwell Pain Management LLCGroup PAC ID 3476883265, 3 clinicians
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

255 Robbins St
Waterbury, CT 06708-2762
Phone (203) 443-9500

6448 Main St
Trumbull, CT 06611-2075
Phone (203) 268-6204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8933CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC Family CurrentSince May 10, 2024 Accepting new patients
Impact Health P.C. Family CurrentSince Nov 1, 2020 Accepting new patients
Livwell Pain Management LLC Family CurrentSince Jun 1, 2025 Accepting new patients

Locations

240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867

6448 Main St
Trumbull, CT 06611
Phone (203) 268-6204

255 Robbins St
Ste 1
Waterbury, CT 06708

1 Emily Way
West Hartfrd, CT 06107
Phone (860) 561-7022

764 Campbell Ave
Ste F
West Haven, CT 06516
Phone (203) 443-9500

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1033727078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 IRVING PL APT C",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068101315",
            "telephone_number": "518-727-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 BOSTON POST RD STE 2",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372672",
            "telephone_number": "203-458-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINELLA",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-15",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

Verify at the official NPI Registry.