Individual provider Active NPI

Mary Ann Starkes, BSN,MSN,APRN,BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cheshire, CT
National Provider Identifier
1043323025
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
001795 Issued in CT
Practice address
7 Cranberry LN
Cheshire, CT 06410-3504
Phone
(203) 248-9110
Fax
(203) 272-5090
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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 001795 CT Primary

Addresses

Primary practice location

7 Cranberry LN
Cheshire, CT 06410-3504

Mailing address

7 Cranberry LN
Cheshire, CT 06410-3504
Phone (203) 248-9110

Other identifiers 4

IdentifierTypeStateIssuer
6249561OtherCTUNITED BEHAVIORAL HEALTH
400001795CT02OtherCTANTHEM BLUE CROSS/BLUE SH
477390000OtherCTMAGELLAN
7717126OtherCTAETNA

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
I20110823000062 CT Practitioner - Nurse Practitioner 0042215352 Practice locations: Hamden, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
001795CTMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
CT Healing Center Past Accepting new patients
Gaylord Hospital, Inc. PastSince Sep 8, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mastarkes@ctproviderdirect.org

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, 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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1043323025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CRANBERRY LN",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103504",
            "telephone_number": "203-248-9110",
            "fax_number": "203-272-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CRANBERRY LN",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103504",
            "telephone_number": "203-248-9110",
            "fax_number": "203-272-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKES",
        "first_name": "MARY ANN",
        "name_prefix": "Mrs.",
        "credential": "BSN,MSN,APRN,BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "001795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "6249561",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS/BLUE SH",
            "identifier": "400001795CT02",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "477390000",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7717126",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

Verify at the official NPI Registry.