Active NPI
Michelle R Stumm, N.P.
- Critical Care Neonatal Nurse Practitioner
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- 230107
- Practice address
- 119 Belmont St
Worcester, MA 01605-2903 - Phone
- (508) 334-6470
- NPI assigned
- Mar 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 230107 | MA | Primary |
| Neonatal Nurse Practitioner | 363LN0000X | 5653 | CT |
Addresses
Primary practice location
119 Belmont St
Worcester, MA 01605-2903
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Other practice location 1
282 Washington St
Hartford, CT 06106-3322
Phone (860) 837-5560
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110013861A | Medicaid | MA | |
| 321320 | Medicaid | MA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mstumm24393@UmassMemorial.direct-ci.com | ||
| FHIR URL | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Children'S Specialty Group, Inc. | Current | Accepting new patients | |
| Connecticut Children'S Specialty Group, Inc. | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Current | Accepting new patients | |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients |
Locations
10 Columbus Blvd
Fl 5
Hartford, CT 06106
80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249
282 Washington St
Hartford, CT 06106
Phone (860) 545-8950
10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619
320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331
119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Interoperability endpoints
- mstumm24393@umassmemorial.direct-ci.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
-
- Pediatrics Physician
- Hartford, CT
- NPI 1669448882
-
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
-
- Ophthalmology Physician
- Glastonbury, CT
- NPI 1568056984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1043270622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415348",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415348",
"telephone_number": "800-225-8885",
"fax_number": "508-334-1799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 BELMONT ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052903",
"telephone_number": "508-334-6470"
}
],
"practiceLocations": [
{
"address_1": "282 Washington St",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061063322",
"country_code": "US",
"telephone_number": "860-837-5560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STUMM",
"first_name": "MICHELLE",
"middle_name": "R",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-27",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "MA",
"license": "230107",
"primary": true
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "CT",
"license": "5653",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110013861A",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "321320",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mstumm24393@UmassMemorial.direct-ci.com",
"affiliation": "N",
"address_1": "119 Belmont St",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016052903",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "119 Belmont St",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016052903",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.