Maia Annunziato, PA
Individual provider Active NPI Medical Physician Assistant · Hartford, CT
NPI 1043101140 · NPPES record last updated Jul 1, 2026
Key facts
- NPI
- 1043101140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 7313 (CT)
- Practice address
- 114 Woodland St
Hartford, CT 06105-1208 - Phone
- (860) 714-4000
- NPI assigned
- Jul 15, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2100 Powell St
Emeryville, CA 94608-1826
2100 Powell St
Suite 400
Emeryville, CA 94608-1872
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260226004469 | CT | Practitioner - Physician Assistant | 2466933437 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7313 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Current |
Accepting new patients | |
| Cep America LLC | Current |
Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 7313 | CT | Yes |
Addresses
Primary practice location
114 Woodland St
Hartford, CT 06105-1208
Mailing address
20 Winchester Dr
North Haven, CT 06473-3466
Phone (860) 714-4000
Other providers in Hartford, CT
- Angel Touchedhealthcare LLC
- Anthony Daniel Angotta
- Maritza Angulo de Gonzalez
- Mythri Anil Kumar
- Belinda Anne
- Joseph T Anquillare Sr.
- Emily J Anstadt Lutz
- Paul Robert Anthony Jr.
- Varnel Lordan Antoine
- Fnu Anum
All providers in Hartford, CT · Medical Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.