Individual provider Active NPI

Emily Rachel Mihailescu, APRN

  • Family Nurse Practitioner
  • Bridgeport, CT
National Provider Identifier
1053970939
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8463 Issued in CT
Practice address
399 Mill Hill Ave
Bridgeport, CT 06610-2865
Phone
(855) 542-7764
Fax
(203) 690-1265
NPI assigned
Jun 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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 8463 CT Primary

Addresses

Primary practice location

399 Mill Hill Ave
Bridgeport, CT 06610-2865

Mailing address

399 Mill Hill Ave
Bridgeport, CT 06610-2865
Phone (855) 542-7764

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Mashpee Health Information Exchange (HIE)

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
I20191002003759 CT Practitioner - Nurse Practitioner 9537499694 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8463CTMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Liberation Programs Inc CurrentSince Jan 1, 2023 Accepting new patients
Liberation Programs Inc CurrentSince Jan 1, 2023 Accepting new patients

Locations

339 West Ave
Bridgeport, CT 06604

399 Mill Hill Ave
Bridgeport, CT 06610
Phone (203) 384-9301

125 Main St
Stamford, CT 06901
Phone (203) 391-7906

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1053970939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 MILL HILL AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102865",
            "telephone_number": "855-542-7764",
            "fax_number": "203-690-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 MILL HILL AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102865",
            "telephone_number": "855-542-7764",
            "fax_number": "203-690-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHAILESCU",
        "first_name": "EMILY",
        "middle_name": "RACHEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Mashpee",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5 Industrial Dr Ste 100",
            "city": "Mashpee",
            "state": "MA",
            "country_code": "US",
            "postal_code": "026493473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.